NPI 1801517255 · live from the CMS NPI Registry
Garrett Masuda, DDS, MS
Dentist, Orthodontics and Dentofacial Orthopedics in Portland, OR. National Provider Identifier 1801517255, active.
NPI record
| NPI | 1801517255 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 4419 Se Woodstock Blvd, Portland, OR 97206 |
| Practice phone | 503-379-0562 |
| Enumerated | September 5, 2022 |
| Last updated | January 22, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | D12113 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.