NPI 1003467358

Jade Dental LLC

Organisation Dental Clinic/Center Beaverton, OR

Practice location

Address: 12450 SW Pioneer Ln, Beaverton, OR 97008-8377
Phone: (510) 501-4317
Mailing address: 3570 SW River Pkwy Unit 1611, Portland, OR 97239-4544

Authorised official

Name: Patrick Ching Hsiang Chuang
Title: Owner
Phone: (510) 501-4317

Registered specialties

Dental Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QD0000X

Other Clinic/Center providers in Oregon →

Registry record

NPI: 1003467358
Entity type: Organization
NPI issued: 26 Sep 2019
Record last updated: 26 Sep 2019

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.