Individual
THASANAVADEE PHROMCHOTIKUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
7417 SW BEAVERTON HILLSDALE HWY, #600, PORTLAND, OR 97225-2169
(503) 203-1311
(503) 203-6889
Mailing address
7417 SW BEAVERTON HILLSDALE HWY, #600, PORTLAND, OR 97225-2169
(503) 203-1311
(503) 203-6889
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7390
OR
Other
Enumeration date
10/05/2006
Last updated
04/01/2014
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