Search › Oregon › 1223G0001X
Chanda Costello, DMD
NPI 1235385980 · on the registry since 2008
Practice
- Address
- 10211 Sw Park Way
Portland, OR 97225 - Phone
- (503) 203-6978
- Organisation at this address
- B And T Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-03-05
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