GREGORY B MORTENSEN DDS NPI 1316491244

NPI Information

GREGORY B MORTENSEN DDS is a point of service in Bellevue, WA. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. GREGORY B MORTENSEN DDS NPI is 1316491244. The provider is registered as an organization entity type.

The provider's business location address is:

14645 BEL RED RD STE 100
BELLEVUE, WA
ZIP 98007-929
Phone: (425) 644-2205

The provider's authorized official is Gregory Mortensen .
The authorized official title is Dentist and has the following contact phone number (425) 644-2205.

The enumeration date for this NPI number is 8/9/2016 and was last updated on 8/9/2016.

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:

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