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Three Rivers Dental — NPI 1467536318, Rainier, OR | NPI Central

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NPI 1467536318

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Three Rivers Dental

NPI 1467536318 · General Practice Dentistry · Rainier, OR

Provider details

NPI number: 1467536318
Entity type: Organization
Primary specialty: General Practice DentistryDental Providers
Organization subpart: No
Authorized official: John Pham, President(360) 740-6212
License: D6843 (OR)

Specialties & taxonomies

General Practice DentistryPrimary1223G0001XLicense D6843 (OR)
Dental Providers

Practice location

101 5th St W

Rainier, OR 97048

Phone: (503) 556-3744

Fax: (503) 556-3134

Approximate (ZIP-level) locationGet directions

More OR providers

Mailing address

1515 Nw Louisiana Ave

Chehalis, WA 98532

Other names (DBA / former)

Doing business as: Rainier Park Dental

Registry dates

Enumerated: 2006-10-25
Last updated: 2020-08-22

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.