Organization
CEDAR HILLS LEGACY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERYL L ECKLUND (OFFICE MANAGER)
(503) 644-2910
Entity
Organization
Contact information
Practice address
2375 SW CEDAR HILLS BLVD, PORTLAND, OR 97225-4513
(503) 644-2910
(503) 646-5565
Mailing address
2375 SW CEDAR HILLS BLVD, PORTLAND, OR 97225-4513
(503) 644-2910
(503) 646-5565
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D9096
OR
Other
Enumeration date
06/06/2012
Last updated
06/06/2012
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