NW Headache Center, LLC

NPI #1386012029 in Gresham, Oregon

Provider Information

NPI Number: 1386012029
Entity Type: Organization
Organization Name: NW Headache Center, LLC
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Sep 11, 2015
Last Updated: Sep 11, 2015

Practice Location

Address: 1042 NW NORMAN AVE STE 210
City: Gresham
State: Oregon
ZIP Code: 97030-5554
Phone: (503) 665-1115

Authorized Official

Name: CURTIS BEDONT, DMD
Title: MEMBER/MANAGER
Phone: (503) 665-1115

Specialties & Taxonomy Codes

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

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