Columbia Park Oral Surgery Pc in Portland - Oral And Maxillofacial Surgery
Columbia Park Oral Surgery Pc - NPI 1639103658
Columbia Park Oral Surgery Pc is a Oral And Maxillofacial Surgery in Portland, Oregon. Columbia Park Oral Surgery Pc practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Columbia Park Oral Surgery Pc is 1639103658. The last update date is 2020-08-22.
Columbia Park Oral Surgery Pc's current location address is 3549 N Lombard, Portland, Oregon. You can contact this provider via phone number 5032899621 and fax number 5032892930. The mailing address for Columbia Park Oral Surgery Pc is 3549 N Lombard, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Columbia Park Oral Surgery Pc |
|---|---|
| Address | 3549 N Lombard, Portland, Oregon |
| Phone Number | 5032899621 |
| Fax Number | 5032892930 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Kooning A Jan |
| Credentials | DMD |
| Telephone Number | 5032899621 |
NPI Number Detail
| NPI Number | 1639103658 |
|---|---|
| Provider Enumeration Date | 2006-07-10 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 3549 N Lombard |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972175901 |
| Phone Number | 5032899621 |
| Fax Number | 5032892930 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | D6081 |
|
Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
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Post Comment/ Review Below
What is the Columbia Park Oral Surgery Pc's unique identification number?
The Columbia Park Oral Surgery Pc has been assigned the NPI (National Provider Identifier) Number 1639103658 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Columbia Park Oral Surgery Pc is located?
The Columbia Park Oral Surgery Pc is situated at the following address: 3549 N Lombard, Portland, OR, 972175901.
What is Columbia Park Oral Surgery Pc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Columbia Park Oral Surgery Pc is Oral And Maxillofacial Surgery, and the taxonomy code that categorizes this field of expertise is 1223S0112X.
On what date did Columbia Park Oral Surgery Pc receive its 1639103658 assignment from the Centers for Medicare & Medicaid Services?
The Columbia Park Oral Surgery Pc was assigned its 1639103658 on 2006-07-10, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Columbia Park Oral Surgery Pc most recently updated or revised?
The information pertaining to Columbia Park Oral Surgery Pc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.