DQCGM OF OREGON LLC

PORTLAND, OR
NPI1326839507
Doing Business AsGATEWAY DENTAL SURGERY CENTER
Entity TypeOrganization
Authorized ContactSHERRIE EDMONDSON
Sr Manager Licensing & Credentialin
629-999-5014
Organization Subpart ?No
Primary Taxonomy261QA1903X Clinic/Center, Ambulatory Surgical
Enumeration Date2025-05-15
Last Update Date2025-05-15
Business Address
DQCGM OF OREGON LLC
10535 NE GLISAN ST STE 100
PORTLAND, OR 97220-4076
Phone number: 971-229-8777
Mailing Address
DQCGM OF OREGON LLC
PO BOX 842674
LOS ANGELES, CA 90084-2674
Phone number: 629-999-5014