Timber Dental East Burnside

NPI #1780140715 in Portland, Oregon

Provider Information

NPI Number: 1780140715
Entity Type: Organization
Organization Name: Timber Dental East Burnside
Primary Specialty: Dentist - General Practice
Enumeration Date: Feb 14, 2019
Last Updated: Jun 11, 2019

Practice Location

Address: 1200 SE SANDY BLVD
City: Portland
State: Oregon
ZIP Code: 97214-1347
Phone: (503) 419-6499

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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