BEAVERTON ORAL SURGEONS; NPI #1811121932

Contact Information

BEAVERTON ORAL SURGEONS

3925 SW 153RD DR
SUITE 100
BEAVERTON, OR 97006-4166

Phone: 503-646-7101
Fax: 503-646-7105
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Oral and Maxillofacial Surgery	261QS0112X

Indicates primary specialty

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NPI Profile & details for BEAVERTON ORAL SURGEONS

NPI Number	`1811121932`
LBN Legal business name	BEAVERTON ORAL SURGEONS
Authorized official	PHILIP GREEN - (OWNER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	05/04/2009
Last updated	05/04/2009 - About 17 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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