Periopdx
Periopdx provides Periodontics in Portland, Oregon. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
1130 SE 122nd AvePortland, OR 97233-1112
Phone: (503) 252-5515
Fax: (503) 255-1625
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Periodontics (primary) | Taxonomy 1223P0300X |
|---|
Record details
| NPI number | 1275303109 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Duy Anh Tran — Owner · (503) 380-5872 |
| NPI enumerated | January 2, 2024 |
| Last updated in NPPES | January 2, 2024 |
| Certification date | January 2, 2024 |
| Mailing address | 14780 Sw Osprey Dr Ste 240a, Beaverton, OR 97007-8424 |
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