Organization
BRADFORD J RHODES DMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CATHERINE JENSEN (PROVIDER RELATIONS SPECIALIST)
(800) 544-2345
Entity
Organization
Contact information
Practice address
1110 SE 122ND AVE, PORTLAND, OR 97233-1112
(503) 255-7095
Mailing address
PO BOX 4400, SALEM, OR 97302-8400
(800) 544-2345
(503) 315-7227
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/16/2019
Last updated
05/16/2019
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