Organization
BEAVERTON ORAL SURGEONS EQUIPMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HELENE M. SANDERS (ADMINISTRATOR)
(503) 646-7101
Entity
Organization
Contact information
Practice address
3925 SW 153RD DRIVE, SUITE #100, BEAVERTON, OR 97006
(503) 646-7101
(503) 646-7105
Mailing address
3925 SW 153RD DRIVE, SUITE #100, BEAVERTON, OR 97006
(503) 646-7101
(503) 646-7105
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
02/07/2007
Last updated
08/22/2020
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