Moshofsky, Dean A
Moshofsky, Dean A is an individual health care provider with primary practice located at 15455 Nw Greenbrier Pkwy Ste 111, Beaverton OR 97006-7374. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Moshofsky, Dean A can be contacted via phone (503) 534-3434.Contact Information
Primary practice address
15455 Nw Greenbrier Pkwy Ste 111
Beaverton OR 97006-7374
Phone: (503) 534-3434
Fax: (503) 645-4544
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD13916 | Oregon |
Profile Details
| NPI number | 1235131624 |
|---|---|
| LBN Legal business name | Moshofsky, Dean A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 15th, 2005 |
| Last updated | Apr 5th, 2013 - about 12 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 | 1235131624 | NPPES |
| Oregon | MEDICAID | 101907 |
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