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Contact Information

RIVERPLACE PERIODONTICS PC
2636 SE HARRISON STREET
SUITE A
MILWAUKIE, OR97222
 Phone: 503-654-5405
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Periodontics

1223P0300X
Indicates primary specialty

NPI Profile & details for RIVERPLACE PERIODONTICS PC

NPI Number 1043581465
LBN Legal business name RIVERPLACE PERIODONTICS PC
Authorized official DUY ANH TRAN - (PERIODONTIST)
Entity Organization
Organization subpart 1 No
Enumeration date 01/17/2012
Last updated 05/04/2015 - About 11 years ago
Identifiers
OR License # D7360
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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