Organization
MULTICARE DENTAL DCO
Active
Organization
MULTICARE DENTAL DCO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NANCY CUE CAREY (PLAN MANAGER)
(503) 988-3711
Entity
Organization
Contact information
Practice address
426 SW STARK ST FL 9, PORTLAND, OR 97204-2347
(503) 988-3711
(503) 988-5605
Mailing address
426 SW STARK ST FL 9, PORTLAND, OR 97204-2347
(503) 988-3711
(503) 988-5605
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122619
—
OR
Enumeration date
09/26/2006
Last updated
03/24/2010
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