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DR. TARA POWERS BRANTLEY MD DMD NPI 1932685740


NPI Information

NPI: 1932685740
Provider Name: DR. TARA POWERS BRANTLEY, MD, DMD
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

PECOS Registration: Yes

Address:
2801 N GANTENBEIN AVE
PORTLAND, OR
ZIP 97227
Phone: (503) 413-2200
Get Directions

DR. Tara Powers Brantley, MD, DMD is an oral and maxillofacial surgery dentist in Portland, OR. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Tara Powers Brantley, MD, DMD NPI is 1932685740. 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:

2801 N GANTENBEIN AVE
PORTLAND, OR
ZIP 97227-623
Phone: (503) 413-2200

The NPI 1932685740 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/15/2018 and was last updated on 6/14/2023.


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
1122300000XDentist00203363COLORADONo
2208600000XSurgeryA182566CALIFORNIANo
31223S0112XDentistOral and Maxillofacial SurgeryD11766OREGONYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.