Organization
TD EAST BURNSIDE GPS LLC
Active
Other names
Timber Dental East Burnside
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATT KATHAN (OWNER)
(503) 419-6499
Entity
Organization
Contact information
Practice address
1200 SE SANDY BLVD, PORTLAND, OR 97214-1347
(503) 419-6499
Mailing address
1200 SE SANDY BLVD, PORTLAND, OR 97214-1347
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/03/2026
Last updated
04/14/2026
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