| Theodore R. Rask, Dmd, P.c. | |
|
16055 Sw Regatta Ln 800 Beaverton OR 97006-8303 | |
| (503) 880-1299 | |
| Not Available |
| Full Name | Theodore R. Rask, Dmd, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 16055 Sw Regatta Ln, Beaverton, Oregon |
| Authorized Official Name and Position | Theodore R Rask (PRESIDENT) |
| Authorized Official Contact | 5038801299 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Theodore R. Rask, Dmd, P.c. 16055 Sw Regatta Ln 800 Beaverton OR 97006-8303 Ph: (503) 880-1299 | Theodore R. Rask, Dmd, P.c. 16055 Sw Regatta Ln 800 Beaverton OR 97006-8303 Ph: (503) 880-1299 |
| NPI Number | 1659806776 |
|---|---|
| Provider Enumeration Date | 04/26/2017 |
| Last Update Date | 04/26/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659806776 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D9772 (Oregon) | Primary |
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