Timber Dental Downtown LLC

NPI #1083279384 in Portland, Oregon

Provider Information

NPI Number: 1083279384
Entity Type: Organization
Organization Name: Timber Dental Downtown LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: May 2, 2019
Last Updated: Jun 25, 2019

Practice Location

Address: 310 SW 4TH AVE STE 100
City: Portland
State: Oregon
ZIP Code: 97204-2345
Phone: (503) 336-3373

Authorized Official

Name: RYAN BERG
Title: BILLING COORDINATOR
Phone: (503) 419-6288

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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