Brantley, Tara Powers

Brantley, Tara Powers is an individual health care provider with primary practice located at 2801 N Gantenbein Ave , Portland OR 97227-1623. She recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Allopathic & Osteopathic Physicians / Surgery, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is her primary health care specialty. Brantley, Tara Powers can be contacted via phone (503) 413-2200.

Contact Information

Primary practice address
2801 N Gantenbein Ave Portland OR 97227-1623
Phone: (503) 413-2200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 00203363 Colorado
Allopathic & Osteopathic Physicians / Surgery 208600000X A182566 California
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X D11766 Oregon

Profile Details

NPI number 1932685740
LBN Legal business name Brantley, Tara Powers
Credentials MD, DMD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2018
Last updated Jun 14th, 2023 - 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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