Andersen, Gregory Louis
Andersen, Gregory Louis is an individual health care provider with primary practice located at 12750 Se Stark St Bldg E , Portland OR 97233-1539. He recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as his primary health care specialty. Andersen, Gregory Louis can be contacted via phone (971) 347-3009.Contact Information
Primary practice address
12750 Se Stark St Bldg E
Portland OR 97233-1539
Phone: (971) 347-3009
Fax: (971) 256-3277
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | H8136 | Oregon |
Profile Details
| NPI number | 1588404982 |
|---|---|
| LBN Legal business name | Andersen, Gregory Louis |
| Credentials | Registered Dental Hygienist (RDH) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2024 |
| Last updated | May 31st, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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