Individual
CHAD CASEBEER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
14210 SE SUNNYSIDE RD STE 200, CLACKAMAS, OR 97015-5242
(503) 451-5104
Mailing address
9980 SW CITATION PL, BEAVERTON, OR 97008-8060
(503) 798-8851
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D11851
OR
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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