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LISA KAKISHITA DMD LLC NPI 1114204914


NPI Information

NPI: 1114204914
Provider Name: LISA KAKISHITA DMD LLC

Doing Business As: ASPIRE DENTAL LLC

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
833 SW 11TH AVE
#414
PORTLAND, OR
ZIP 97205
Phone: (503) 221-9439
Get Directions

LISA KAKISHITA DMD LLC is a general practice dentist in Portland, OR. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. LISA KAKISHITA DMD LLC NPI is 1114204914. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Aspire Dental Llc.

The provider's business location address is:

833 SW 11TH AVE
#414
PORTLAND, OR
ZIP 97205-125
Phone: (503) 221-9439

The provider's authorized official is Lisa Marnet Kakishita .
The authorized official title is Manager and has the following contact phone number (503) 577-4429.

The enumeration date for this NPI number is 11/8/2011 and was last updated on 1/13/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeD8161OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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