East Portland Dentistry

LBN: East Portland Dentistry
East Portland Dentistry is an health care organization with primary practice located at 9 Ne 120Th Ave , Portland OR 97220-2348. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. East Portland Dentistry can be contacted via phone (503) 255-2424, or through Keller, Cindy M via phone (503) 255-2424.

Contact Information

Primary practice address
9 Ne 120Th Ave Portland OR 97220-2348
Phone: (503) 255-2424
Fax: (503) 253-0150
Website:
Map and Directions
Authorized official contact:
Name: Keller, Cindy M
Phone: (503) 255-2424

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 380578 Oregon

Profile Details

NPI number 1255544417
LBN Legal business name East Portland Dentistry
DBA Doing business as
Authorized official Keller, Cindy M
Entity Organization
Organization subpart 1 No
Enumeration date May 7th, 2007
Last updated Jan 28th, 2016 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1255544417 NPPES
Oregon Other 1851458533 DURABLE MEDICAL EQUIPMENT & MEDICAL SUPPLIES

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