Organization
WESTOVER DENTAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES BELUSKO D.M.D. (DENTIST)
(503) 224-2273
Entity
Organization
Contact information
Practice address
419 NW 23RD AVE, SUITE 102, PORTLAND, OR 97210-3470
(503) 224-2273
(503) 224-1176
Mailing address
419 NW 23RD AVE, SUITE 102, PORTLAND, OR 97210-3470
(503) 224-2273
(503) 224-1176
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D5148
OR
Other
Enumeration date
04/23/2007
Last updated
08/22/2020
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