Dental Outreach Oregon

NPI #1841441904 in Portland, Oregon

Provider Information

NPI Number
1841441904
Entity Type
Organization
Organization Name
Dental Outreach Oregon
Primary Specialty
Dentist - Dental Public Health
Enumeration Date
Oct 8, 2008
Last Updated
Oct 8, 2008

Practice Location

Address
4707 SW KELLY AVE
Address 2
SUITE 205
State
Oregon
ZIP Code
97239-4252
Phone
(503) 295-1201

Authorized Official

Name
MRS. TONIA KENNEDY AYRES
Title
SECRETARY
Phone
(503) 295-1201

Specialties & Taxonomy Codes

Specialty
Dentist - Dental Public HealthDental Public Health

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