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Contact Information

DENTAL OUTREACH OREGON
4707 SW KELLY AVE
SUITE 205
PORTLAND, OR97239-4252
 Phone: 503-295-1201
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Public Health

1223D0001X
Indicates primary specialty

NPI Profile & details for DENTAL OUTREACH OREGON

NPI # 1841441904
LBN Legal business name DENTAL OUTREACH OREGON
Authorized official TONIA AYRES - (SECRETARY)
Entity Organization
Organization subpart 1 No
Enumeration date 10/08/2008
Last updated 10/08/2008 - About 18 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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