Gehred Family Dental

NPI 1043528169 - Dentist - 1223G0001X

NPI Details
NPI 1043528169
Enumeration Date 09/23/2010
Last Updated 09/23/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name CORNELIUS CORNELIUS
Position PRESIDENT
Phone (503) 284-6469
Fax (503) 288-0490
Practice Location
4839 NE 42ND AVE
PORTLAND OR, 97218-1609, US
Phone (503) 284-6469
Fax (503) 288-0490
Business Location
4839 NE 42ND AVE
PORTLAND OR, 97218-1609, US
Phone (503) 284-6469
Fax (503) 288-0490
Toxanomy
Taxonomy Code 1223G0001X
License State Oregon
License Number D9242
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According to our database, Gehred Family Dental NPI is 1043528169, taxonomy code is 1223G0001X and license number is D9242, license state is located at Oregon. Gehred Family Dental physically located at 4839 Ne 42nd Ave, Portland OR, 97218-1609. NPI Number 1033115704 has the healthcare provider type.

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1043528169 NPI number is provided on an as is basis without warranty of any kind. 1043528169 is maintained by the National Plan & Provider Enumeration System. The contents of Gehred Family Dental are for informational purposes only.