Dental Outreach Oregon

LBN: Dental Outreach Oregon
Dental Outreach Oregon is an health care organization with primary practice located at 4707 Sw Kelly Ave Suite 205, Portland OR 97239-4252. The organization recently has only one registered license in Dental Providers / Dental Public Health, which is considered as the primary health care specialty. Dental Outreach Oregon can be contacted via phone (503) 295-1201, or through Ayres, Tonia Kennedy via phone (503) 295-1201.

Contact Information

Primary practice address
4707 Sw Kelly Ave Suite 205 Portland OR 97239-4252
Phone: (503) 295-1201
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ayres, Tonia Kennedy
Phone: (503) 295-1201

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Public Health 1223D0001X

Profile Details

NPI number 1841441904
LBN Legal business name Dental Outreach Oregon
DBA Doing business as
Authorized official Ayres, Tonia Kennedy
Entity Organization
Organization subpart 1 No
Enumeration date Oct 8th, 2008
Last updated Oct 8th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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