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Organization
KAISER PERMANENTE
Active
Organization
KAISER PERMANENTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRANT COLBY (DENTAL OFFICE MANAGER)
(503) 387-8000
Entity
Organization
Contact information
Practice address
1900 MCLOUGHLIN BLVD STE 68, OREGON CITY, OR 97045-1072
(503) 387-8000
Mailing address
1900 MCLOUGHLIN BLVD STE 68, OREGON CITY, OR 97045-1072
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
126800000X
OR
Other
Enumeration date
09/15/2011
Last updated
06/01/2021
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