NPI 1518245349 · live from the CMS NPI Registry
Kelly Conlin Andrews
Dentist in Tigard, OR. National Provider Identifier 1518245349, active.
NPI record
| NPI | 1518245349 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist 122300000X |
| Practice location | 9900 Sw Greenburg Rd Ste 240, Tigard, OR 97223 |
| Practice phone | 503-443-3842 |
| Mailing address | Po Box 490, Redmond, OR 97756 |
| Enumerated | July 27, 2011 |
| Last updated | July 27, 2011 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist primary | 122300000X | D9633 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.