| NPI | 1780140715 |
|---|---|
| Doing Business As | TIMBER DENTAL EAST BURNSIDE |
| Entity Type | Organization |
| Authorized Contact | RYAN BERG Billing Coordinator 503-419-6288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-02-14 |
| Last Update Date | 2019-06-11 |