PACIFIC NORTHWEST DENTAL LLC NPI 1689292781

NPI Information

PACIFIC NORTHWEST DENTAL, LLC is a dental clinic center in Beaverton, OR. PACIFIC NORTHWEST DENTAL, LLC NPI is 1689292781. The provider is registered as an organization entity type.

The provider's business location address is:

12725 SW 2ND ST
BEAVERTON, OR
ZIP 97005-708
Phone: (503) 644-1953

The provider's authorized official is Ryan M Bradley .
The authorized official title is Owner and has the following contact phone number (971) 998-3000.

The enumeration date for this NPI number is 7/6/2020 and was last updated on 7/6/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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