The Friends of Creston Children's Dental Clinic
NPI #1568785848 in Portland, Oregon
Provider Information
- NPI Number
- 1568785848
- Entity Type
- Organization
- Organization Name
- The Friends of Creston Children's Dental Clinic
- Primary Specialty
- Voluntary or Charitable
- Enumeration Date
- Mar 1, 2010
- Last Updated
- Mar 1, 2010
Practice Location
Authorized Official
- Name
- LORA D MATTSEN
- Title
- SECRETARY/TREASURER
- Phone
- (503) 513-5010
Specialties & Taxonomy Codes
| Specialty |
|---|
| Voluntary or Charitable |
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