Organization
PORTLAND DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAN VAN CHAU D.M.D. (DENTIST)
(503) 331-1322
Entity
Organization
Contact information
Practice address
4301 NE TILLAMOOK ST., PORTLAND, OR 97213-1315
(503) 331-1322
(503) 331-1252
Mailing address
4301 NE TILLAMOOK ST., PORTLAND, OR 97213-1315
(503) 331-1322
(503) 331-1252
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D9662
OR
Other
Enumeration date
07/13/2012
Last updated
07/13/2012
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