Organization
GEHRED FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CORNELIUS GEHRED DDS (PRESIDENT)
(503) 254-2068
Entity
Organization
Contact information
Practice address
10340 SE DIVISION ST, SUITE 1, PORTLAND, OR 97266-1269
(503) 254-2068
(503) 252-5820
Mailing address
10340 SE DIVISION ST, SUITE 1, PORTLAND, OR 97266-1269
(503) 254-2068
(503) 252-5820
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D4833
OR
122300000X
Dentist
D8874
OR
122300000X
Dentist
Primary
D9242
OR
Other
Enumeration date
09/23/2010
Last updated
09/23/2010
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