Organization
SAMUEL J HIGDON DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL HIGDON DDS (OWNER)
(503) 227-4844
Entity
Organization
Contact information
Practice address
2250 NW FLANDERS ST STE 111, PORTLAND, OR 97210-5409
(503) 227-4844
Mailing address
2250 NW FLANDERS ST STE 111, PORTLAND, OR 97210-5409
(503) 227-4844
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
12/14/2017
Last updated
12/14/2017
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