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TIMBER DENTAL NPI 1992261192


NPI Information

NPI: 1992261192
Provider Name: TIMBER DENTAL
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
3500 NE MARTIN LUTHER KING JR BLVD
PORTLAND, OR
ZIP 97212
Phone: (503) 765-7355
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TIMBER DENTAL 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 NPI is 1992261192. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3500 NE MARTIN LUTHER KING JR BLVD
PORTLAND, OR
ZIP 97212-093
Phone: (503) 765-7355

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 2/13/2019 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
11033404751OTHERNPI
21144213802OTHERNPI
31851845036OTHERNPI
41295143212OTHERNPI
51952684169OTHERNPI
61821225442OTHERNPI
71780605287OTHERNPI
81639504715OTHEROREGONNPI

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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