Overview
No Referral Sources
No Referral Destinations
Practice Locations 1 Same Address Same Phone
No Medical Groups
No Affl. Hospitals
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Primary Practice Address
1201 SE 223RD AVE STE 180
GRESHAM, OR 97030-2577 US

Blue Lake Oral And Maxillofacial Surgery, Pc

Oral and Maxillofacial Surgery Clinic/Center

Blue Lake Oral And Maxillofacial Surgery, Pc

Overview

Blue Lake Oral And Maxillofacial Surgery, Pc is a healthcare organization in the GRESHAM area. Blue Lake Oral And Maxillofacial Surgery, Pc primary office location is at 1201 SE 223RD AVE STE 180 and new patients are welcome to contact this healthcare organization for an appointment. The NPI number is 1316535339 and the information was updated approximately 4 years ago.

We have not detected any Exclusions tied directly to this NPI.

Accepts Medicare Assignment: Unknown

Is sole proprietor: Unknown

Participates in PECOS: NO

Contact Information

Primary Practice Location Information
1201 SE 223RD AVE STE 180
GRESHAM, OR 97030-2577 US
Phone: (503)-667-1431
Fax:
Practice Mailing Information
1201 SE 223RD AVE STE 180
GRESHAM, OR 97030-2577 US
Phone: (503)-667-1431
Fax:

No Licenses found

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