Organization
NE DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE ORTIZ (ADMIN ASST)
(503) 234-7870
Entity
Organization
Contact information
Practice address
2525 NE BROADWAY ST, SUITE 200, PORTLAND, OR 97232-1635
(503) 234-7870
(503) 236-9001
Mailing address
2525 NE BROADWAY ST, SUITE 200, PORTLAND, OR 97232-1635
(503) 234-7870
(503) 236-9001
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
5566
OR
Other
Enumeration date
11/30/2010
Last updated
11/30/2010
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