| NPI | 1669980348 |
|---|---|
| Other Name | TANASBOURNE DENTAL OFFICE |
| Entity Type | Organization |
| Authorized Contact | STEPHEN SHAWN BARTON Executive Director, Revenue Cycle 503-813-2440 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2021-06-01 |