NPI 1003010018 · live from the CMS NPI Registry
Kari Borgen
Dentist, Orthodontics and Dentofacial Orthopedics in Lake Oswego, OR. National Provider Identifier 1003010018, active.
NPI record
| NPI | 1003010018 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 440 A Ave, Lake Oswego, OR 97034 |
| Practice phone | 503-635-9371 |
| Mailing address | 1025 Nw Couch St, #820, Portland, OR 97209 |
| Enumerated | June 13, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | D8704 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.