NPI 1013029230

Glenna K. Sequeira DMD, PC

Organisation General Practice Dentistry Portland, OR

Practice location

Address: 2440 NE Fremont St, Portland, OR 97212
Phone: (503) 249-8771
Fax: (503) 249-8772

Authorised official

Name: Glenna Kathleen Sequeira
Title: President
Phone: (503) 249-8771

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence D6547 (OR)

Other Dentist providers in Oregon →

Registry record

NPI: 1013029230
Entity type: Organization
NPI issued: 1 Sep 2006
Record last updated: 22 Aug 2020

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.