Willamette Dental

LBN: Willamette Dental
Willamette Dental is an health care organization with primary practice located at 17804 Nw Marylhurst Dr , Portland OR 97229-7913. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Willamette Dental can be contacted via phone (503) 533-1755, or through Budrevich, Elina via phone (503) 533-1755.

Contact Information

Primary practice address
17804 Nw Marylhurst Dr Portland OR 97229-7913
Phone: (503) 533-1755
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Budrevich, Elina
Phone: (503) 533-1755

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X H5086 Oregon

Profile Details

NPI number 1770905879
LBN Legal business name Willamette Dental
DBA Doing business as
Authorized official Budrevich, Elina
Entity Organization
Organization subpart 1 No
Enumeration date Jan 9th, 2014
Last updated Jan 9th, 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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