NPI 1568478576 · live from the CMS NPI Registry
James C Alder, dmd, fagd
Dentist, General Practice in Portland, OR. National Provider Identifier 1568478576, active.
NPI record
| NPI | 1568478576 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 1600 Sw Cedar Hills Blvd, #110, Portland, OR 97225 |
| Practice phone | 503-641-5667 |
| Mailing address | 16170 Sw Donin Ct, Beaverton, OR 97006 |
| Enumerated | July 31, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | 5933 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.