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Organization

OREGON ENDODONTICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
REBECCA ADAMSON ROSE (REGIONAL MANAGER)
(971) 261-9539
Entity
Organization

Contact information

Practice address
8815 KEYS PLACE, LINCOLN CITY, OR 97367
(541) 351-8069
(541) 418-4311
Mailing address
PO BOX 127, LINCOLN CITY, OR 97367-0127
(541) 351-8069

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
023810
OR
05
1235128745
OR
Enumeration date
04/06/2021
Last updated
04/06/2021
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