Organization
DEIRDRE FROEHLICH DMD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEIRDRE LEE FROEHLICH DMD, LLC (DENTIST)
(503) 282-3884
Entity
Organization
Contact information
Practice address
2824 NE WASCO ST, SUITE 200, PORTLAND, OR 97232-1772
(503) 282-3884
(503) 282-3893
Mailing address
2824 NE WASCO ST, SUITE 200, PORTLAND, OR 97232-1772
(503) 282-3884
(503) 282-3893
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
6065
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6065
GENERAL DENTIST
OR
Enumeration date
05/06/2008
Last updated
05/06/2008
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