Michael C Royse, Dmd, Llc

LBN: Michael C Royse, Dmd, Llc
Michael C Royse, Dmd, Llc is an health care organization with primary practice located at 511 Sw 10Th Ave Suite #810, Portland OR 97205-2732. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Michael C Royse, Dmd, Llc can be contacted via phone (503) 223-3910, or through Royse, Michael Charles via phone (503) 223-3910.

Contact Information

Primary practice address
511 Sw 10Th Ave Suite #810 Portland OR 97205-2732
Phone: (503) 223-3910
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Royse, Michael Charles Doctor of Dental Medicine (DMD)
Phone: (503) 223-3910

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X D6613 Oregon

Profile Details

NPI number 1063787166
LBN Legal business name Michael C Royse, Dmd, Llc
DBA Doing business as
Authorized official Royse, Michael Charles Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 21st, 2012
Last updated Mar 21st, 2012 - about 14 years 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063787166 NPPES
Oregon MEDICAID 158909

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