FAIRVIEW ORTHODONTICS LLC NPI 1184888307

NPI Information

NPI: 1184888307
Provider Name: FAIRVIEW ORTHODONTICS LLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

CLIA Number: 38D1072916

Address:
1547 NE MARKET DR
FAIRVIEW, OR
ZIP 97024
Phone: (503) 666-8000
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FAIRVIEW ORTHODONTICS LLC is a dental clinic center in Fairview, OR. FAIRVIEW ORTHODONTICS LLC NPI is 1184888307. The provider is registered as an organization entity type.

The provider's business location address is:

1547 NE MARKET DR
FAIRVIEW, OR
ZIP 97024-864
Phone: (503) 666-8000

The provider's authorized official is James Joseph Jasper .
The authorized official title is Manager and has the following contact phone number (503) 666-8000.

The CLIA number assigned to this NPI record is 38D1072916 - community clinic with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 7/16/2008 and was last updated on 7/16/2008.

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	D8879	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: 5/5/2024

NPI Synchronization or Removal

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