Billi Odegaard Dental Clinic
LBN: Billi Odegaard Dental Clinic
Billi Odegaard Dental Clinic is an health care organization with primary practice located at 33 Nw Broadway Ste 380, Portland OR 97209-3580. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Dental, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Billi Odegaard Dental Clinic can be contacted via phone (503) 988-5770, or through Payne, Antoinette via phone (971) 325-6412.
Contact Information
Primary practice address
33 Nw Broadway Ste 380
Portland OR 97209-3580
Phone: (503) 988-5770
Fax: (503) 988-5442
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Dental | 261QD0000X | ||
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | Oregon |
Profile Details
| NPI number | 1871843078 |
|---|---|
| LBN Legal business name | Billi Odegaard Dental Clinic |
| DBA Doing business as | |
| Authorized official | Payne, Antoinette |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Sep 14th, 2012 |
| Last updated | Aug 28th, 2026 - about 2 months ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871843078 | NPPES |
| Oregon | MEDICAID | 096511 | |
| Oregon | MEDICAID | 022959 |
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