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Contact Information

TRAVIS L AGEE, DMD
6439 NE SANDY BLVD
PORTLAND, OR97213-4505
 Phone: 503-284-3588
 Fax: 503-284-3694
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for TRAVIS L AGEE · (Male)

NPI # 1659503803
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 08/20/2009
Last updated 11/16/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • OR License # D9335
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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