JASON ATACK DMD
Individual Provider (NPI-1)
Active
Dentist
Provider Information
- NPI Number
1235382557- Provider Type
- Individual Provider (NPI-1)
- Credentials
- DMD
- Status
- Active
Contact & Location
- Address
- 14125 SW FARMINGTON RD, BEAVERTON, OR, 970052567
- Phone
- (503) 646-4432
- Fax
- (971) 223-1710
Specialties & Taxonomies
Dentist, General Practice
License: OR #9201
Dentist
Primary License: OR #d9201