Kirk Christianson is a Dentist in Portland, Oregon. Kirk Christianson practices all healthcare services and medical treatments related to Dentist. The NPI Number for Kirk Christianson is 1568585594. The last update date is 2022-07-21.
Kirk Christianson's current location address is 511 Sw 10th Ave Ste 1114, Portland, Oregon. You can contact this provider via phone number 5032284122 and fax number 5032282036. The mailing address for Kirk Christianson is 511 Sw 10th Ave Ste 1114, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kirk Christianson |
|---|---|
| Address | 511 Sw 10th Ave Ste 1114, Portland, Oregon |
| Phone Number | 5032284122 |
| Fax Number | 5032282036 |
| Sole Proprietor | N |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1568585594 |
|---|---|
| Provider Enumeration Date | 2007-04-06 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 511 Sw 10th Ave Ste 1114 |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972052712 |
| Phone Number | 5032284122 |
| Fax Number | 5032282036 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | FC3623053 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1568585594 | OR | NPI | |
| FC3623053 | OR | STATE LICENSE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Kirk Christianson?
The Kirk Christianson has been issued the NPI (National Provider Identifier) 1568585594 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Kirk Christianson's facilities are situated?
The facilities of Kirk Christianson are physically located at the following address: 511 Sw 10Th Ave Ste 1114, Portland, OR, 972052712.
What is the Kirk Christianson's area of specialization and corresponding taxonomy classification?
The Kirk Christianson's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
When did the Kirk Christianson receive its 1568585594?
The Kirk Christianson was issued its 1568585594 on 2007-04-06, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Kirk Christianson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kirk Christianson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-07-21.