NPI 1083393920
Bd-Gresham, LLC
Practice location
- Address
- 1700 NW Civic Dr STE 320, Gresham, OR 97030-3774
- Phone
- (503) 666-2515
Authorised official
- Name
- Debbie Lopez
- Title
- Regional Manager
- Phone
- (503) 914-8221
Registered specialties
Dental Clinic/Center
Primary
Registry record
- NPI
- 1083393920
- Entity type
- Organization
- NPI issued
- 17 Jul 2023
- Record last updated
- 17 Jul 2023
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.