Reaksecker, Mark Noble Fred
Reaksecker, Mark Noble Fred is an sole proprietor health care provider with primary practice located at 15230 Se 82Nd Dr , Clackamas OR 97015-9606. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Reaksecker, Mark Noble Fred can be contacted via phone (503) 655-9000.Contact Information
Primary practice address
15230 Se 82Nd Dr
Clackamas OR 97015-9606
Phone: (503) 655-9000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D6502 | Oregon |
Profile Details
| NPI number | 1225020548 |
|---|---|
| LBN Legal business name | Reaksecker, Mark Noble Fred |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 23rd, 2005 |
| Last updated | Mar 16th, 2009 - about 16 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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