NPI 1235569070 · live from the CMS NPI Registry
Justus Orthodontics LLC
Dentist, Orthodontics and Dentofacial Orthopedics in Portland, OR. National Provider Identifier 1235569070, active.
NPI record
| NPI | 1235569070 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 11790 Sw Barnes Rd Ste 390, Portland, OR 97225 |
| Practice phone | 503-352-3800 |
| Enumerated | November 14, 2013 |
| Last updated | November 14, 2013 |
| Authorized official | Tamara Justus, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.