Multnomah Village Dental Care

NPI #1790037182 in Portland, Oregon

Provider Information

NPI Number: 1790037182
Entity Type: Organization
Organization Name: Multnomah Village Dental Care
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 9, 2012
Last Updated: Oct 9, 2012

Practice Location

Address: 7717 SW 34TH AVE
City: Portland
State: Oregon
ZIP Code: 97219-1725
Phone: (503) 246-2564

Authorized Official

Name: DR. LISA K JENSEN, DMD
Title: DENTIST
Phone: (503) 246-2564

Specialties & Taxonomy Codes

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

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