Organization
OREGON ENDODONTIC GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEILA TARSA (OWNER)
(503) 636-3383
Entity
Organization
Contact information
Practice address
320 A AVE, LAKE OSWEGO, OR 97034-3056
(503) 636-3383
(503) 635-8632
Mailing address
320 A AVE, LAKE OSWEGO, OR 97034-3056
(503) 636-3383
(503) 635-8632
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
09/19/2012
Last updated
09/19/2012
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