Organization
TIGARD TENDERCARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN RAY MAROSTICA D.M.D. (PRESIDENT)
(503) 670-7088
Entity
Organization
Contact information
Practice address
11960 SW PACIFIC HWY, TIGARD, OR 97223-6439
(503) 670-7088
Mailing address
11960 SW PACIFIC HWY, TIGARD, OR 97223-6439
(503) 670-7088
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
D9419
OR
Other
Enumeration date
03/12/2014
Last updated
03/12/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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