WESTSIDE PERIODONTICS & IMPLANTOLOGY LLC NPI 1124390281

NPI Information

NPI: 1124390281
Provider Name: WESTSIDE PERIODONTICS & IMPLANTOLOGY LLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
9934 NW SKYLINE HEIGHTS DR
PORTLAND, OR
ZIP 97229
Phone: (503) 799-5383
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WESTSIDE PERIODONTICS & IMPLANTOLOGY LLC is a dental clinic center in Portland, OR. WESTSIDE PERIODONTICS & IMPLANTOLOGY LLC NPI is 1124390281. The provider is registered as an organization entity type.

The provider's business location address is:

9934 NW SKYLINE HEIGHTS DR
PORTLAND, OR
ZIP 97229-634
Phone: (503) 799-5383

The provider's authorized official is Vahid Thomas Eshraghi .
The authorized official title is Periodontist and has the following contact phone number (503) 799-5383.

The enumeration date for this NPI number is 2/6/2012 and was last updated on 2/6/2012.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	D8855	OREGON	Yes

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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