Brad R Hagedorn Dmd PC

NPI #1225326697 in Portland, Oregon

Provider Information

NPI Number: 1225326697
Entity Type: Organization
Organization Name: Brad R Hagedorn Dmd PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 19, 2011
Last Updated: Jul 19, 2011

Practice Location

Address: 973 NW SALTZMAN RD
City: Portland
State: Oregon
ZIP Code: 97229-5647
Phone: (503) 644-7202

Authorized Official

Name: DR. BRADLEY HAGEDORN, DMD
Title: PRESIDENT
Phone: (503) 644-7202

Specialties & Taxonomy Codes

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

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