Request an Appointment

Please fill out the form below and we will contact you with an appointment time. Required fields are marked with asterisks (*).

Patient Information

Name: *

Phone: *

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What is the reason for the appointment? *

Regular exam / cleaning
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What concerns, if any, would you like to speak to the doctor about:

 

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Appointment Request
Appointment Request Form

Family Friendly Services
Convenient Premarq Center location
• Evening hours to accommodate busy families
• Treatment when you need it, not before
• Continual communication
• Questions, concerns and feedback welcome
• Guidance for long-term dental health
Financial Options

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Ekren Orthodontics | www.ekrenorthodontics.com | 503.245.7670
9370 SW Greenburg Rd, Suite 422, Portland, OR 97223



 

 

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Ekren Orthodontics, 9370 SW Greenburg Rd., Portland, Oregon, 97223 - Related Terms: orthodontist Portland Oregon - orthodontist Portland Oregon - 503.245.7670 - www.ekrenorthodontics.com - 6/26/2017