Ohsu Faculty Dental Practice
LBN: Oregon Health & Science University
Ohsu Faculty Dental Practice is an health care organization with primary practice located at 2730 S Moody Ave , Portland OR 97201-5042. The organization recently has 6 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice, Dental Providers / Oral and Maxillofacial Pathology, Dental Providers / Periodontics, Dental Providers / Prosthodontics, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Dentist is the primary health care specialty.
Oregon Health & Science University can be contacted via phone (503) 494-4316, or through Sage, Megan A via phone (503) 494-5076.
Contact Information
Primary practice address
2730 S Moody Ave
Portland OR 97201-5042
Phone: (503) 494-4316
Fax: (503) 494-2365
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | ||
| Dental Providers / General Practice | 1223G0001X | ||
| Dental Providers / Oral and Maxillofacial Pathology | 1223P0106X | ||
| Dental Providers / Periodontics | 1223P0300X | ||
| Dental Providers / Prosthodontics | 1223P0700X | ||
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X |
Profile Details
| NPI number | 1740369818 |
|---|---|
| LBN Legal business name | Oregon Health & Science University |
| DBA Doing business as | Ohsu Faculty Dental Practice |
| Authorized official | Sage, Megan A |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 2nd, 2006 |
| Last updated | Mar 21st, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740369818 | NPPES |
| Oregon | MEDICAID | 500750380 |
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