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ORAL HEALTH OUTREACH LLC NPI 1194002725


NPI Information

NPI: 1194002725
Provider Name: ORAL HEALTH OUTREACH, LLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
4949 MEADOWS RD
SUITE 475
LAKE OSWEGO, OR
ZIP 97035
Phone: (503) 702-1113
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ORAL HEALTH OUTREACH, LLC is a dental clinic center in Lake Oswego, OR. ORAL HEALTH OUTREACH, LLC NPI is 1194002725. The provider is registered as an organization entity type.

The provider's business location address is:

4949 MEADOWS RD
SUITE 475
LAKE OSWEGO, OR
ZIP 97035-285
Phone: (503) 702-1113
Fax: (503) 697-1990

The provider's authorized official is Joseph Francis Markunas .
The authorized official title is Ceo and has the following contact phone number (503) 702-1113.

The enumeration date for this NPI number is 11/10/2011 and was last updated on 11/10/2011.


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
1261QD0000XClinic/CenterDentalD7025OREGONYes

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

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