Ian Pham is a General Practice in Tualatin, Oregon. Ian Pham practices all healthcare services and medical treatments related to General Practice. The NPI Number for Ian Pham is 1710947494. The last update date is 2023-03-07.
Ian Pham's current location address is 18791 Sw Boones Ferry Rd, Tualatin, Oregon. You can contact this provider via phone number 5036926552 and fax number 5036921452. The mailing address for Ian Pham is 18791 Sw Boones Ferry Rd, Tualatin, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ian Pham |
|---|---|
| Address | 18791 Sw Boones Ferry Rd, Tualatin, Oregon |
| Phone Number | 5036926552 |
| Fax Number | 5036921452 |
| Sole Proprietor | Y |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1710947494 |
|---|---|
| Provider Enumeration Date | 2006-03-25 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 18791 Sw Boones Ferry Rd |
|---|---|
| City | Tualatin |
| State | Oregon (OR) |
| Post Code | 970628412 |
| Phone Number | 5036926552 |
| Fax Number | 5036921452 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | D7808 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| D7808 | OR | STATE LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Ian Pham by the Centers for Medicare & Medicaid Services?
The Ian Pham has been assigned the NPI (National Provider Identifier) 1710947494 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Ian Pham's facilities are situated?
The facilities of Ian Pham are physically located at the following address: 18791 Sw Boones Ferry Rd, Tualatin, OR, 970628412.
What is Ian Pham's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Ian Pham's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.
When did Ian Pham receive its 1710947494 assignment?
The Ian Pham was assigned its 1710947494 on 2006-03-25, which is the date when this unique identifier was issued to the organization.
As of what date were the Ian Pham's details last updated?
The information pertaining to the Ian Pham, including its address, specialty, and other details, was most recently updated on 2023-03-07.