Edwin Thoreson, D.M.D

NPI 1225012123 · on the registry since 2005 · sole proprietor

Practice

Address: 630 N Broadway St
Estacada, OR 97023
Phone: (503) 630-4219
Fax: (503) 630-4238
Organisation at this address: Estacada Family Dental, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Licence states on file: OR
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2015-03-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon