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Contact Information

ICP TELEDENTISTRY
3439 SE HAWTHORNE BLVD # 906
PORTLAND, OR97214-5048
 Phone: 425-494-0883
 Fax:
 Website:
Indicates primary specialty

NPI Profile & details for ICP TELEDENTISTRY · (Female)

NPI # 1225771108
Status Active
Credentials
Entity Individual
Enumeration date 04/18/2022
Last updated 04/18/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers
  • LA Other 006880293 DL
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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