MARIAM MENA BDS MSOFPOM NPI 1891386074

NPI Information

NPI: 1891386074
Provider Name: MARIAM MENA, BDS, MSOFPOM
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
618 SE 141ST AVE
PORTLAND, OR
ZIP 97233
Phone: (503) 888-9538
Get Directions

Mariam Mena, BDS, MSOFPOM 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. Mariam Mena, BDS, MSOFPOM NPI is 1891386074. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

618 SE 141ST AVE
PORTLAND, OR
ZIP 97233-208
Phone: (503) 888-9538

The enumeration date for this NPI number is 1/29/2021 and was last updated on 1/29/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	61069699	WASHINGTON	Yes
2	1223X2210X	Dentist	Orofacial Pain	61069699	WASHINGTON	No

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

NPI Synchronization or Removal

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