NPI 1770971277 · live from the CMS NPI Registry
Aaron Pogue, D.M.D., L.L.C.,
Dentist, General Practice in Portland, OR. National Provider Identifier 1770971277, active.
NPI record
| NPI | 1770971277 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 5610 N Lombard St, Portland, OR 97203 |
| Practice phone | 503-283-2553 |
| Mailing address | 17203 Sw Baseline Rd, Beaverton, OR 97006 |
| Enumerated | January 6, 2015 |
| Last updated | January 6, 2015 |
| Authorized official | Aaron Pogue, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.