Unknown Individual – Periodontics, NPI 1942423470
Periodontics
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
1101 SE TECH CENTER DR
SUITE 195
VANCOUVER, WA 986835504
Phone:
Type: Mailing
1001 SW 5TH AVE
SUITE 222
PORTLAND, OR 972041147
Phone: (503) 222-5355
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98683)
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