Octavia E Swanson DDS

NPI 1003256827 - Dentist - 122300000X

NPI Details
NPI 1003256827
Gender Female
Enumeration Date 06/25/2013
Last Updated 11/02/2014
Entity Type Individual
Active Over 3 years ago
Practice Location
3710 SW US VETRN HOSP RD
PORTLAND OR, 97239-2964, US
Phone (503) 220-8262
Fax
Business Location
3710 SW US VETRN HOSP RD
PORTLAND OR, 97239-2964, US
Phone (503) 220-8262
Fax
Toxanomy
Taxonomy Code 122300000X
License State Oregon
License Number D10027
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According to our database, Dr. Octavia E Swanson DDS NPI is 1003256827, taxonomy code is 122300000X and license number is D10027, license state is located at Oregon. Octavia E Swanson DDS physically located at 3710 Sw Us Vetrn Hosp Rd, Portland OR, 97239-2964. NPI Number Octavia E Swanson DDS has the Individual type.

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1003256827 NPI number is provided on an as is basis without warranty of any kind. 1003256827 is maintained by the National Plan & Provider Enumeration System. The contents of Octavia E Swanson DDS are for informational purposes only.