Charles L Branen Dmd PC

NPI #1053614396 in Portland, Oregon

Provider Information

NPI Number: 1053614396
Entity Type: Organization
Organization Name: Charles L Branen Dmd PC
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Dec 8, 2010
Last Updated: Dec 8, 2010

Practice Location

Address: 4433 NE TILLAMOOK ST
City: Portland
State: Oregon
ZIP Code: 97213-1317
Phone: (503) 288-6963

Authorized Official

Name: DR. CHARLES LEE BRANEN, DMD
Title: DENTIST
Phone: (503) 288-6963

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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