Juanita Valles Odell in Portland - General Practice
Juanita Valles Odell - NPI 1689697005
Juanita Valles Odell is a General Practice in Portland, Oregon. Juanita Valles Odell practices all healthcare services and medical treatments related to General Practice. The NPI Number for Juanita Valles Odell is 1689697005. The last update date is 2011-07-18.
Juanita Valles Odell's current location address is 5025 Se 28th Ave, Portland, Oregon. You can contact this provider via phone number 5032384418. The mailing address for Juanita Valles Odell is 5025 Se 28th Ave, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Juanita Valles Odell |
|---|---|
| Address | 5025 Se 28th Ave, Portland, Oregon |
| Phone Number | 5032384418 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1689697005 |
|---|---|
| Provider Enumeration Date | 2006-07-26 |
| Last Updated Date | 2011-07-18 |
Provider Mailing Address Detail
| Address | 5025 Se 28th Ave |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972024445 |
| Phone Number | 5032384418 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | D8455 |
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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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Post Comment/ Review Below
What is the unique identifier code issued to Juanita Valles Odell by the Centers for Medicare & Medicaid Services?
The Juanita Valles Odell has been assigned the NPI (National Provider Identifier) 1689697005. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Juanita Valles Odell's facilities are situated?
The facilities of Juanita Valles Odell are physically located at the following address: 5025 Se 28Th Ave, Portland, OR, 972024445.
What is the Juanita Valles Odell's area of specialization and corresponding taxonomy classification?
The Juanita Valles Odell'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 was the 1689697005 assigned to Juanita Valles Odell?
The Juanita Valles Odell was issued its 1689697005 on 2006-07-26, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Juanita Valles Odell, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Juanita Valles Odell, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-07-18.