Shoger, Mark O

Shoger, Mark O is an sole proprietor health care provider with primary practice located at 14780 Sw Osprey Dr Suite 345, Beaverton OR 97007-8028. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Shoger, Mark O can be contacted via phone (503) 579-2495.

Contact Information

Primary practice address
14780 Sw Osprey Dr Suite 345 Beaverton OR 97007-8028
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X D6564 Oregon

Profile Details

NPI number 1003032483
LBN Legal business name Shoger, Mark O
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 17th, 2007
Last updated Jul 8th, 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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