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:
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Health care specialties

SpecialtyCodeLicense #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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