Phoenix, Austin
Phoenix, Austin is an individual health care provider with primary practice located at 443 Nw Burnside Rd , Gresham OR 97030-3714. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Phoenix, Austin can be contacted via phone (503) 492-8487.Contact Information
Primary practice address
443 Nw Burnside Rd
Gresham OR 97030-3714
Phone: (503) 492-8487
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | D9012 | Oregon |
Profile Details
| NPI number | 1538349774 |
|---|---|
| LBN Legal business name | Phoenix, Austin |
| Credentials | D.M.D., M.S.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 5th, 2007 |
| Last updated | Nov 5th, 2007 - about 18 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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