Stephen Earl Waldram in Portland - Dentist
Stephen Earl Waldram - NPI 1528269370
Stephen Earl Waldram is a Dentist in Portland, Oregon. Stephen Earl Waldram practices all healthcare services and medical treatments related to Dentist. The NPI Number for Stephen Earl Waldram is 1528269370. The last update date is 2007-07-08.
Stephen Earl Waldram's current location address is 3503 N Lombard St, Portland, Oregon. You can contact this provider via phone number 5032831198 and fax number 5032833262. The mailing address for Stephen Earl Waldram is 3503 N Lombard St, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen Earl Waldram |
|---|---|
| Address | 3503 N Lombard St, Portland, Oregon |
| Phone Number | 5032831198 |
| Fax Number | 5032833262 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1528269370 |
|---|---|
| Provider Enumeration Date | 2007-05-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3503 N Lombard St |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 97217 |
| Phone Number | 5032831198 |
| Fax Number | 5032833262 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | OR 5135 |
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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 identification code assigned to Stephen Earl Waldram by the Centers for Medicare & Medicaid Services?
The Stephen Earl Waldram has been issued the NPI (National Provider Identifier) 1528269370, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Stephen Earl Waldram located?
The Stephen Earl Waldram is located at 3503 N Lombard St, Portland, OR 97217.
What is the Stephen Earl Waldram's area of specialization and corresponding taxonomy classification?
The Stephen Earl Waldram's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1528269370 to Stephen Earl Waldram?
The Centers for Medicare & Medicaid Services originally issued the 1528269370 to Stephen Earl Waldram on 2007-05-30.
When was the information regarding Stephen Earl Waldram, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Stephen Earl Waldram, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.