NPI 1699316968 · live from the CMS NPI Registry
Lenin J. Aquino, DMD
Dentist, General Practice in Portland, OR. National Provider Identifier 1699316968, active.
NPI record
| NPI | 1699316968 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 2020 Se 182nd Ave, Portland, OR 97233 |
| Practice phone | 503-988-5400 |
| Mailing address | 204 E 6th St, Molalla, OR 97038 |
| Enumerated | October 8, 2019 |
| Last updated | October 8, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | D11137 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.