Organization
PERIOPDX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DUY ANH TRAN DMD (OWNER)
(503) 380-5872
Entity
Organization
Contact information
Practice address
1130 SE 122ND AVE, PORTLAND, OR 97233-1112
(503) 252-5515
(503) 255-1625
Mailing address
14780 SW OSPREY DR STE 240A, BEAVERTON, OR 97007-8424
(503) 747-0095
(503) 747-0027
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
01/02/2024
Last updated
01/02/2024
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