Organization
WILLAMETTE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACY REED (DENTAL HYGIENIST)
(503) 352-4896
Entity
Organization
Contact information
Practice address
4925 SW GRIFFITH DR., BEAVERTON, OR 97005
(503) 352-4896
Mailing address
16199 SW TUSCANY ST, TIGARD, OR 97223
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
H5039
OR
Other
Enumeration date
11/22/2013
Last updated
11/22/2013
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