THE FRIENDS OF CRESTON CHILDREN'S DENTAL CLINIC NPI 1568785848

NPI Information

NPI: 1568785848
Provider Name: THE FRIENDS OF CRESTON CHILDREN'S DENTAL CLINIC
Classification: Voluntary or Charitable - 251V00000X
Entity Type: Organization
Address:
4701 SE BUSH ST
PORTLAND, OR
ZIP 97206
Phone: (503) 916-5808
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THE FRIENDS OF CRESTON CHILDREN'S DENTAL CLINIC is a voluntary or charitable in Portland, OR. THE FRIENDS OF CRESTON CHILDREN'S DENTAL CLINIC NPI is 1568785848. The provider is registered as an organization entity type.

The provider's business location address is:

4701 SE BUSH ST
PORTLAND, OR
ZIP 97206-283
Phone: (503) 916-5808

The provider's authorized official is Lora D Mattsen .
The authorized official title is Secretary/treasurer and has the following contact phone number (503) 513-5010.

The enumeration date for this NPI number is 3/1/2010 and was last updated on 3/1/2010.

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	251V00000X	Voluntary or Charitable		D5168	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

NPI Synchronization or Removal

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