Organization
CHARLES L BRANEN DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES LEE BRANEN DMD (DENTIST)
(503) 288-6963
Entity
Organization
Contact information
Practice address
4433 NE TILLAMOOK ST, PORTLAND, OR 97213-1317
(503) 288-6963
(503) 288-4939
Mailing address
4433 NE TILLAMOOK ST, PORTLAND, OR 97213-1317
(503) 288-6963
(503) 288-4939
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D7206
OR
Other
Enumeration date
12/08/2010
Last updated
12/08/2010
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