BEAVERTON TENDERCARE
Organization (NPI-2)
Active
Dentist, General Practice
Provider Information
- NPI Number
1235365602- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 4095 SW 144TH AVE STE A, BEAVERTON, OR, 970052368
- Phone
- (503) 643-4719
- Fax
- (503) 626-9488
Specialties & Taxonomies
Dentist, General Practice
Primary License: OR #D6960