Organization
RANDY ALLEN CASTLE DMD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDY ALLEN CASTLE DMD (PRESIDENT)
(503) 701-0191
Entity
Organization
Contact information
Practice address
2350 SW MULTNOMAH BLVD, SUITE B, PORTLAND, OR 97219-3999
(503) 245-3515
(503) 257-3722
Mailing address
2350 SW MULTNOMAH BLVD, SUITE B, PORTLAND, OR 97219-3999
(503) 245-3515
(503) 257-3722
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D9350
OR
Other
Enumeration date
11/09/2012
Last updated
02/28/2017
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