Organization
RICKLAND G ASAI DMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICKLAND G ASAI DMD (OWNER)
(503) 646-4600
Entity
Organization
Contact information
Practice address
11786 SW BARNES RD, SUITE 340, PORTLAND, OR 97225-5925
(503) 646-4600
(503) 646-8180
Mailing address
11786 SW BARNES RD, SUITE 340, PORTLAND, OR 97225-5925
(503) 646-4600
(503) 646-8180
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
5801
OR
Other
Enumeration date
03/09/2015
Last updated
03/09/2015
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