Mutschler, Mark

Mutschler, Mark is an individual health care provider with primary practice located at 13908 Se Stark St Ste C, Portland OR 97233-2161. He recently has 3 registered licenses in different health care specialties including Dental Providers / Pediatric Dentistry, Dental Providers / Orthodontics and Dentofacial Orthopedics, Dental Providers / Dentist. Dental Providers / Pediatric Dentistry is his primary health care specialty. Mutschler, Mark can be contacted via phone (503) 254-5535.

Contact Information

Primary practice address
13908 Se Stark St Ste C Portland OR 97233-2161
Phone: (503) 254-5535
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X D6996 Oregon
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X D6996 Oregon
Dental Providers / Dentist 122300000X 38336 California

Profile Details

NPI number 1467455360
LBN Legal business name Mutschler, Mark
Credentials DDS, MS
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Jul 8th, 2007 - about 17 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.

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