Willamette Dental

LBN: Willamette Dental
Willamette Dental is an health care organization with primary practice located at 4925 Sw Griffith Dr , Beaverton OR 97005-2923. The organization recently has only one registered license in Managed Care Organizations / Health Maintenance Organization, which is considered as the primary health care specialty. Willamette Dental can be contacted via phone (855) 433-6825, or through Phanthamath, Manimone via phone (503) 715-7876.

Contact Information

Primary practice address
4925 Sw Griffith Dr Beaverton OR 97005-2923
Phone: (855) 433-6825
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Phanthamath, Manimone Registered Dental Hygienist (RDH)
Phone: (503) 715-7876

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Health Maintenance Organization 302R00000X H5456 Oregon

Profile Details

NPI number 1194143065
LBN Legal business name Willamette Dental
DBA Doing business as
Authorized official Phanthamath, Manimone Registered Dental Hygienist (RDH)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 28th, 2014
Last updated Mar 28th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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