Connie Lei Masuoka in Portland - General Practice
Connie Lei Masuoka - NPI 1205945896
Connie Lei Masuoka is a General Practice in Portland, Oregon. Connie Lei Masuoka practices all healthcare services and medical treatments related to General Practice. The NPI Number for Connie Lei Masuoka is 1205945896. The last update date is 2023-03-07.
Connie Lei Masuoka's current location address is 6305 E Burnside St, Portland, Oregon. You can contact this provider via phone number 5032368623. The mailing address for Connie Lei Masuoka is 6305 E Burnside St, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Connie Lei Masuoka |
|---|---|
| Address | 6305 E Burnside St, Portland, Oregon |
| Phone Number | 5032368623 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1205945896 |
|---|---|
| Provider Enumeration Date | 2006-08-29 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 6305 E Burnside St |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972151351 |
| Phone Number | 5032368623 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 6495 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the Connie Lei Masuoka's 1205945896?
The Connie Lei Masuoka's NPI (National Provider Identifier) Number is 1205945896. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Connie Lei Masuoka is physically located?
The Connie Lei Masuoka is physically situated at the following address: 6305 E Burnside St, Portland, OR, 972151351.
What is the Connie Lei Masuoka's area of specialization and corresponding taxonomy classification?
The Connie Lei Masuoka's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1205945896 to Connie Lei Masuoka?
The Connie Lei Masuoka received its 1205945896 assignment from the Centers for Medicare & Medicaid Services on 2006-08-29.
As of what date were the details related to Connie Lei Masuoka most recently updated or revised?
The information pertaining to Connie Lei Masuoka, including its address, specialty, and other relevant details, was last updated or revised on 2023-03-07.
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