Packham, Kevin Reed
Packham, Kevin Reed is an individual health care provider with primary practice located at 2403 Se Monroe St Suite C, Milwaukie OR 97222-7646. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Packham, Kevin Reed can be contacted via phone (503) 654-5995.Contact Information
Primary practice address
2403 Se Monroe St Suite C
Milwaukie OR 97222-7646
Phone: (503) 654-5995
Fax: (503) 653-0465
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | D7196 | Oregon |
Profile Details
NPI number | 1285629766 |
---|---|
LBN Legal business name | Packham, Kevin Reed |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 12th, 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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