Organization
NORTHWEST PERIODONTICS AND DENTAL IMPLANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH LEE (FINANCIAL COORDINATOR)
(503) 222-2844
Entity
Organization
Contact information
Practice address
2525 NW LOVEJOY ST STE 100, PORTLAND, OR 97210-2861
(503) 222-2844
(503) 222-4001
Mailing address
2525 NW LOVEJOY ST STE 100, PORTLAND, OR 97210-2861
(503) 222-2844
(503) 222-4001
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/04/2022
Last updated
10/04/2022
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