| Johnson Creek Dental Office | |
|
9300 Se 91st Ave Ste 310 Happy Valley OR 97086-3762 | |
| (800) 813-2000 | |
| Not Available |
| Full Name | Johnson Creek Dental Office |
|---|---|
| Speciality | Dentist |
| Location | 9300 Se 91st Ave Ste 310, Happy Valley, Oregon |
| Authorized Official Name and Position | Stephen Shawn Barton (EXECUTIVE DIRECTOR, REVENUE CYCLE) |
| Authorized Official Contact | 5038132440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Johnson Creek Dental Office 500 Ne Multnomah St Portland OR 97232-2023 Ph: (800) 813-2000 | Johnson Creek Dental Office 9300 Se 91st Ave Ste 310 Happy Valley OR 97086-3762 Ph: (800) 813-2000 |
| NPI Number | 1629699863 |
|---|---|
| Provider Enumeration Date | 04/28/2020 |
| Last Update Date | 06/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629699863 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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