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Organization
EVERGREEN HOSPITAL DENTISTRY
Active
Organization
EVERGREEN HOSPITAL DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN JAMES DDS (OWNER)
(503) 662-8463
Entity
Organization
Contact information
Practice address
8568 SW APPLE WAY, PORTLAND, OR 97225-1772
(503) 662-8463
Mailing address
1609 SE BARBERRY AVE, DALLAS, OR 97338-1974
(503) 662-8463
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/24/2024
Last updated
08/24/2024
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