Morales, Nelson Antonio
Morales, Nelson Antonio is an individual health care provider with primary practice located at 30040 Sw Boones Ferry Rd Ste 20 , Wilsonville OR 97070-8910. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Morales, Nelson Antonio can be contacted via phone (503) 682-4500.Contact Information
Primary practice address
30040 Sw Boones Ferry Rd Ste 20
Wilsonville OR 97070-8910
Phone: (503) 682-4500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D10733 | Oregon |
Profile Details
| NPI number | 1306355847 |
|---|---|
| LBN Legal business name | Morales, Nelson Antonio |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2017 |
| Last updated | Sep 27th, 2017 - about 8 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 | 1306355847 | NPPES |
| Oregon | MEDICAID | D10733 |
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