Jay Preston Malmquist in Portland - Oral And Maxillofacial Surgery
Jay Preston Malmquist - NPI 1275641284
Jay Preston Malmquist is a Oral And Maxillofacial Surgery in Portland, Oregon. Jay Preston Malmquist practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Jay Preston Malmquist is 1275641284. The last update date is 2007-07-08.
Jay Preston Malmquist's current location address is 5415 Sw Westgate Dr, Portland, Oregon. You can contact this provider via phone number 5032928824 and fax number 5032977810. The mailing address for Jay Preston Malmquist is 5415 Sw Westgate Dr, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jay Preston Malmquist |
|---|---|
| Address | 5415 Sw Westgate Dr, Portland, Oregon |
| Phone Number | 5032928824 |
| Fax Number | 5032977810 |
| Sole Proprietor | Y |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1275641284 |
|---|---|
| Provider Enumeration Date | 2006-08-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5415 Sw Westgate Dr |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972212409 |
| Phone Number | 5032928824 |
| Fax Number | 5032977810 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | D4642 |
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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 unique 10-digit identification code issued to Jay Preston Malmquist by the Centers for Medicare & Medicaid Services?
The Jay Preston Malmquist has been assigned the NPI (National Provider Identifier) 1275641284 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Jay Preston Malmquist's facilities are situated?
The facilities of Jay Preston Malmquist are physically located at the following address: 5415 Sw Westgate Dr, Portland, OR, 972212409.
What is Jay Preston Malmquist's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jay Preston Malmquist's specialized field of practice is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 1223S0112X.
On what date did the Jay Preston Malmquist receive the assignment of its 1275641284 from the Centers for Medicare & Medicaid Services?
The Jay Preston Malmquist was issued its 1275641284 by the Centers for Medicare & Medicaid Services on 2006-08-29.
As of what date were the details pertaining to Jay Preston Malmquist last refreshed?
The information related to the Jay Preston Malmquist, including its address, specialty, and other relevant details, was last updated on 2007-07-08.