Kaiser Permanente 3 To Phd Dental

LBN: Kaiser Permanente Dental Care Program
Kaiser Permanente 3 To Phd Dental is an health care organization with primary practice located at 2930 Ne Dekum St , Portland OR 97211-6613. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Dental Hygienist. Dental Providers / Dentist is the primary health care specialty. Kaiser Permanente Dental Care Program can be contacted via phone (800) 813-2000, or through Marko, Amy via phone (503) 813-4660.

Contact Information

Primary practice address
2930 Ne Dekum St Portland OR 97211-6613
Phone: (800) 813-2000
Fax: (503) 286-6879
Website:
Map and Directions
Authorized official contact:
Name: Marko, Amy
Phone: (503) 813-4660

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X
Dental Providers / Dental Hygienist 124Q00000X

Profile Details

NPI number 1861918005
LBN Legal business name Kaiser Permanente Dental Care Program
DBA Doing business as Kaiser Permanente 3 To Phd Dental
Authorized official Marko, Amy
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 18th, 2017
Last updated Jun 1st, 2021 - about 4 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 1861918005 NPPES
Oregon MEDICAID XXXXX

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