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TIMBER DENTAL BETHANY NPI 1548726581


NPI Information

NPI: 1548726581
Provider Name: TIMBER DENTAL BETHANY
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
15715 NW CENTRAL DR STE 7-8
PORTLAND, OR
ZIP 97229
Phone: (503) 336-3373
Get Directions

TIMBER DENTAL BETHANY 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. TIMBER DENTAL BETHANY NPI is 1548726581. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

15715 NW CENTRAL DR STE 7-8
PORTLAND, OR
ZIP 97229-267
Phone: (503) 336-3373

The provider's authorized official is Ryan Berg .
The authorized official title is Billing Coordinator and has the following contact phone number (503) 419-6288.

The enumeration date for this NPI number is 2/14/2019 and was last updated on 6/11/2019.


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 PracticeYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11144213802OTHERNPI
21851845036OTHERNPI
31033404751OTHERNPI
41295143212OTHERNPI
51639504715OTHERNPI
61821225442OTHERNPI
71952684169OTHERNPI
81780605287OTHERNPI

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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