NPI 1003079443

Hayden Family Dentistry Group

Organisation Dentist Portland, OR

Practice location

Address: 732 SW 3rd Ave Suite 202, Portland, OR 97204-2416
Phone: (503) 541-2580
Mailing address: 1740 W 17th Ave, Eugene, OR 97402-3619

Authorised official

Name: Jerry Slaughter
Title: Hr
Phone: (541) 242-8904

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X

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Registry record

NPI: 1003079443
Entity type: Organization
NPI issued: 7 Jul 2008
Record last updated: 7 Jul 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.