Organization
MICHAEL W. GEHLEN D.M.D.,P.C.
Active
Other names
Tualatin Cosmetic & Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL WILLIAM GEHLEN DMD (PRESIDENT)
(503) 692-1450
Entity
Organization
Contact information
Practice address
8555 SW TUALATIN RD, TUALATIN, OR 97062-9425
(503) 692-1450
(503) 352-9395
Mailing address
7940 SW 191ST AVE, BEAVERTON, OR 97007-9017
(503) 692-1450
(503) 352-9395
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D4430
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D4430
STATE LICENSE
OR
Enumeration date
05/27/2008
Last updated
05/27/2008
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