Organization
BROADWAY DENTAL, P.C.
Active
Other names
dr. goodman-cherrier, p.c.
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD EARL GOODMAN-CHERRIER DDS (DENTIST)
(503) 249-1100
Entity
Organization
Contact information
Practice address
1301 NE BROADWAY ST, PORTLAND, OR 97232-1235
(503) 249-1100
(503) 249-2969
Mailing address
1301 NE BROADWAY ST, PORTLAND, OR 97232-1235
(503) 249-1100
(503) 249-2969
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D 5439
OR
Other
Enumeration date
05/14/2007
Last updated
08/22/2020
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