Portland Dental Works, LLC

NPI #1801189386 in Beaverton, Oregon

Provider Information

NPI Number: 1801189386
Entity Type: Organization
Organization Name: Portland Dental Works, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: PORTLAND DENTAL WORKS, LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: May 17, 2011
Last Updated: Jul 17, 2012

Practice Location

Address: 4225 SW 109TH AVE
City: Beaverton
State: Oregon
ZIP Code: 97005-3028
Phone: (503) 644-3188

Authorized Official

Name: AMELIA SCHMECHEL
Title: PRACTICE MANAGER
Phone: (503) 644-3188

Specialties & Taxonomy Codes

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

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