Tidwell, Vaughn G
Tidwell, Vaughn G is an individual health care provider with primary practice located at 2236 Pacific Ave , Forest Grove OR 97116-2448. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Tidwell, Vaughn G can be contacted via phone (503) 359-5481.Contact Information
Primary practice address
2236 Pacific Ave
Forest Grove OR 97116-2448
Phone: (503) 359-5481
Fax: (503) 359-7882
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 5848 | Oregon |
Profile Details
| NPI number | 1083600753 |
|---|---|
| LBN Legal business name | Tidwell, Vaughn G |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 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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