Organization
TIMBER DENTAL LLC
Active
Other names
Timber Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW RYAN KATHAN DDS (DENTIST OWNER)
(971) 506-3407
Entity
Organization
Contact information
Practice address
3500 NE MLK, PORTLAND, OR 97212-2093
(971) 506-3407
Mailing address
5400 NE RODNEY AVE, PORTLAND, OR 97211-2642
(971) 506-3407
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D9561
OR
Other
Enumeration date
09/09/2013
Last updated
09/09/2013
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