Gagneja, Monisha
Gagneja, Monisha is an sole proprietor health care provider with primary practice located at 830 Ne 47Th Ave Providence Child Centre -Speciality Dent, Portland OR 97213-2212. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Gagneja, Monisha can be contacted via phone (503) 215-1060.Contact Information
Primary practice address
830 Ne 47Th Ave Providence Child Centre -Speciality Dent
Portland OR 97213-2212
Phone: (503) 215-1060
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | DE00010814 | Washington |
| Dental Providers / Pediatric Dentistry | 1223P0221X | D9549 | Oregon |
Profile Details
| NPI number | 1184803751 |
|---|---|
| LBN Legal business name | Gagneja, Monisha |
| Credentials | B.D.S |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 30th, 2007 |
| Last updated | Aug 1st, 2011 - about 14 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184803751 | NPPES |
| Washington | MEDICAID | 1184803751 | |
| Washington | MEDICAID | 214020 |
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