Mark E Engelstad in Portland - Oral & Maxillofacial Surgery
Mark E Engelstad - NPI 1437102746
Mark E Engelstad is a Oral & Maxillofacial Surgery in Portland, Oregon. Mark E Engelstad practices all healthcare services and medical treatments related to Oral & 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 2006-05-18 |
| Last Updated Date | 2017-10-10 |
Provider Mailing Address Detail
| Address | 3181 Sw Sam Jackson Park Rd |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972393011 |
| Phone Number | 5034948914 |
| Fax Number | 5034940294 |
Provider's Primary Taxonomy Detail
| Speciality | Oral & Maxillofacial Surgery |
|---|---|
| Taxonomy | 204E00000X |
| Licence No | MD153490 |
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Definition: Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 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 & Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this field of practice is 204E00000X.
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.