| NPI | 1720890262 |
|---|---|
| Doing Business As | MC FERNHILL DENTAL |
| Entity Type | Organization |
| Authorized Contact | DERRICK MOTEN Deputy Director 503-988-2966 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2025-01-22 |
| Last Update Date | 2025-01-22 |