NPI 1740369818 · live from the CMS NPI Registry
Oregon Health & Science University
Dentist in Portland, OR. National Provider Identifier 1740369818, active.
NPI record
| NPI | 1740369818 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist 122300000X |
| Practice location | 2730 S Moody Ave, Portland, OR 97201 |
| Practice phone | 503-494-4316 |
| Enumerated | November 2, 2006 |
| Last updated | March 21, 2023 |
| Authorized official | Megan Sage, Director PT Sppt Srvs Operations |
| Other names | Ohsu Faculty Dental Practice |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice | 1223G0001X | — |
| Dentist, Oral and Maxillofacial Pathology | 1223P0106X | — |
| Dentist, Periodontics | 1223P0300X | — |
| Dentist, Prosthodontics | 1223P0700X | — |
| Dentist, Orthodontics and Dentofacial Orthopedics | 1223X0400X | — |
| Dentist, Orofacial Pain | 1223X2210X | — |
| Dentist primary | 122300000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.