Organization
AARON POGUE, D.M.D., L.L.C.,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AARON POGUE D.M.D. (OWNER)
(503) 440-1245
Entity
Organization
Contact information
Practice address
5610 N LOMBARD ST, PORTLAND, OR 97203-4224
(503) 283-2553
Mailing address
17203 SW BASELINE RD, BEAVERTON, OR 97006-4253
(503) 440-1245
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/06/2015
Last updated
01/06/2015
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