Oral Health Outreach, LLC

NPI #1194002725 in Lake Oswego, Oregon

Provider Information

NPI Number: 1194002725
Entity Type: Organization
Organization Name: Oral Health Outreach, LLC
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Nov 10, 2011
Last Updated: Nov 10, 2011

Practice Location

Address: 4949 MEADOWS RD
Address 2: SUITE 475
City: Lake Oswego
State: Oregon
ZIP Code: 97035-4285
Phone: (503) 702-1113

Authorized Official

Name: JOSEPH FRANCIS MARKUNAS
Title: CEO
Phone: (503) 702-1113

Specialties & Taxonomy Codes

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

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