Heritage Dental
Heritage Dental is a Dental Clinic/Center in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2011.
- Licensed in
- OR
- In the registry since
- 2011
- Specialties on file
- 2
Practice location Address checks out
4511 SE Hawthorne Blvd Ste 101Portland, OR 97215-3195
Phone: (503) 231-8228
Fax: (503) 231-5634
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X · Licence 5651 (OR) |
|---|---|
| Dental Clinic/Center | Taxonomy 261QD0000X · Licence 9096 (OR) |
Record details
| NPI number | 1669759767 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Denise Crane — Office Manager · (503) 231-8228 |
| NPI enumerated | November 3, 2011 |
| Last updated in NPPES | July 11, 2013 |
| Mailing address | 4511 Se Hawthorne Blvd, Suite 101, Portland, OR 97215-3195 |
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