Park, Richard I.
Park, Richard I. is an individual health care provider with primary practice located at 5415 Sw Westgate Dr Suite 207, Portland OR 97221-2409. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Park, Richard I. can be contacted via phone (503) 292-9274.Contact Information
Primary practice address
5415 Sw Westgate Dr Suite 207
Portland OR 97221-2409
Phone: (503) 292-9274
Fax: (503) 292-2337
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 4262 | Oregon |
Profile Details
| NPI number | 1306843669 |
|---|---|
| LBN Legal business name | Park, Richard I. |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 1st, 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.
Popular Providers
-
Larsen, Noel Vee
2824 Ne Wasco St , Portland OR 97232-1772 -
Yarborough, Lisa S
611 Sw Campus Dr , Portland OR 97239-3001 -
Page, Michael Gregory
2824 Ne Wasco St Suite 230, Portland OR 97232-1772 -
Royse, Michael Charles
511 Sw 10Th Ave Suite #810, Portland OR 97205-2732 -
Pike, Allan Russell
5440 Sw Westgate Dr , Portland OR 97221-2448 -
Nelson, Gary Randall
2730 Sw Moody Ave , Portland OR 97201-5042 -
Beltzner, Andrea Nicole
2824 Ne Wasco St Suite 230, Portland OR 97232-1772 -
Biermann, Michael
5900 N Lombard St , Portland OR 97203-4118