Edariz R Castilla is a Dentist in Portland, Oregon. Edariz R Castilla practices all healthcare services and medical treatments related to Dentist. The NPI Number for Edariz R Castilla is 1891814182. The last update date is 2013-05-15.
Edariz R Castilla's current location address is 10102 Ne Glisan Ave, Portland, Oregon. You can contact this provider via phone number 5032575959 and fax number 5034081472. The mailing address for Edariz R Castilla is 10102 Ne Glisan Ave, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edariz R Castilla |
|---|---|
| Address | 10102 Ne Glisan Ave, Portland, Oregon |
| Phone Number | 5032575959 |
| Fax Number | 5034081472 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1891814182 |
|---|---|
| Provider Enumeration Date | 2007-03-28 |
| Last Updated Date | 2013-05-15 |
Provider Mailing Address Detail
| Address | 10102 Ne Glisan Ave |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 97220 |
| Phone Number | 5032575959 |
| Fax Number | 5034081472 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | D9418 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identifier code assigned to Edariz R Castilla by the Centers for Medicare & Medicaid Services?
The Edariz R Castilla has been issued the NPI (National Provider Identifier) 1891814182 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Edariz R Castilla is geographically located?
The Edariz R Castilla is physically situated at the following location: 10102 Ne Glisan Ave, Portland, OR, 97220.
What is the Edariz R Castilla's specialty and taxonomy code?
The Edariz R Castilla's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
When did the Edariz R Castilla receive its 1891814182?
The Edariz R Castilla was issued its 1891814182 on 2007-03-28, which is the date when the organization was assigned this unique identifier.
As of what date were the Edariz R Castilla's details last updated?
The information pertaining to the Edariz R Castilla, including its address, specialty, and other details, was most recently updated on 2013-05-15.