Organization
RANDALL N FREED, D.M.D.
Active
Other names
Cornell Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL N FREED D.M.D. (OWNER/DENTIST)
(503) 646-9687
Entity
Organization
Contact information
Practice address
12887 NW CORNELL RD, STE A, PORTLAND, OR 97229-5894
(503) 646-9687
(503) 619-0066
Mailing address
12887 NW CORNELL RD, STE A, PORTLAND, OR 97229-5894
(503) 646-9687
(503) 619-0066
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
5171
OR
Other
Enumeration date
08/05/2010
Last updated
08/05/2010
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