NPI 1124264841

Family Dental Care, INC

Organisation Health Maintenance Organization Portland, OR

Practice location

Address: 1890 NE 162nd Ave, Portland, OR 97230-5642
Phone: (503) 644-1110
Fax: (503) 641-6431

Authorised official

Name: Hadi Nouredine
Title: Ceo
Phone: (503) 644-1110

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X

Other Health Maintenance Organization providers in Oregon →

Registry record

NPI: 1124264841
Entity type: Organization
NPI issued: 30 Dec 2008
Record last updated: 30 Dec 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.