Dental Professionals of Oregon, P.c.

NPI #1861077570 in Portland, Oregon

Provider Information

NPI Number: 1861077570
Entity Type: Organization
Organization Name: Dental Professionals of Oregon, P.c.
Subpart: Yes (part of a larger organization)
Parent Organization: HEARTLAND DENTAL
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 15, 2021
Last Updated: Mar 15, 2021

Practice Location

Address: 16230 SE MCLOUGHLIN BLVD
City: Portland
State: Oregon
ZIP Code: 97267-4657
Phone: (503) 549-4136

Authorized Official

Name: TABATHA LEMKE
Title: CREDENTIALING COORDINATOR
Phone: (217) 540-6078

Specialties & Taxonomy Codes

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

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