Individual
DR. HAYDEN ALEXANDER MERIWETHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
17895 NE EVERGREEN PKWY, #100, BEAVERTON, OR 97006
(503) 533-0770
Mailing address
1238 SE RHINE ST, PORTLAND, OR 97202-2755
(425) 241-7090
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D11317
OR
1223G0001X
General Practice Dentistry
Primary
D11317
OR
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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