Mark E Engelstad in Portland - Oral And Maxillofacial Surgery
Mark E Engelstad - NPI 1437102746
Mark E Engelstad is a Oral And Maxillofacial Surgery in Portland, Oregon. Mark E Engelstad practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Mark E Engelstad is 1437102746. The last update date is 2017-10-10.
Mark E Engelstad's current location address is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. You can contact this provider via phone number 5034948914 and fax number 5034940294. The mailing address for Mark E Engelstad is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
Provider Name | Mark E Engelstad |
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Address | 3181 Sw Sam Jackson Park Rd, Portland, Oregon |
Phone Number | 5034948914 |
Fax Number | 5034940294 |
Sole Proprietor | N |
Credentials | MD, DDS |
NPI Number Detail
NPI Number | 1437102746 |
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Provider Enumeration Date | 2006-05-18 |
Last Updated Date | 2017-10-10 |
Provider Mailing Address Detail
Address | 3181 Sw Sam Jackson Park Rd |
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City | Portland |
State | Oregon (OR) |
Post Code | 972393011 |
Phone Number | 5034948914 |
Fax Number | 5034940294 |
Provider's Primary Taxonomy Detail
Speciality | Oral And Maxillofacial Surgery |
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Taxonomy | 1223S0112X |
Licence No | DF0023 |
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. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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357147500 | MN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Mark E Engelstad by the Centers for Medicare & Medicaid Services (CMS)?
The Mark E Engelstad has been assigned the NPI (National Provider Identifier) 1437102746. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Mark E Engelstad's physical address?
The Mark E Engelstad is physically located at 3181 Sw Sam Jackson Park Rd, in the city of Portland, OR, with the postal code 972393011.
What is Mark E Engelstad's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mark E Engelstad's area of specialization is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this field of practice is 1223S0112X.
On what date did the Centers for Medicare & Medicaid Services assign the 1437102746 to Mark E Engelstad?
The Centers for Medicare & Medicaid Services assigned the 1437102746 to Mark E Engelstad on 2006-05-18.
As of what date was the information regarding Mark E Engelstad, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mark E Engelstad, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2017-10-10.