NPI 1043581465

Riverplace Periodontics PC

Organisation Periodontics Milwaukie, OR

Practice location

Address: 2636 SE Harrison Street Suite a, Milwaukie, OR 97222
Phone: (503) 654-5405

Authorised official

Name: Duy Anh Tran
Title: Periodontist
Phone: (503) 654-5405

Registered specialties

Periodontics Primary

Dental Providers Taxonomy 1223P0300X Licence D7360 (OR)

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Registry record

NPI: 1043581465
Entity type: Organization
NPI issued: 17 Jan 2012
Record last updated: 4 May 2015

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.