Ohsu Faculty Dental Practice

LBN: Oregon Health & Science University
Ohsu Faculty Dental Practice is an health care organization with primary practice located at 2730 S Moody Ave , Portland OR 97201-5042. The organization recently has 6 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice, Dental Providers / Oral and Maxillofacial Pathology, Dental Providers / Periodontics, Dental Providers / Prosthodontics, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Dentist is the primary health care specialty. Oregon Health & Science University can be contacted via phone (503) 494-4316, or through Sage, Megan A via phone (503) 494-5076.

Contact Information

Primary practice address
2730 S Moody Ave Portland OR 97201-5042
Phone: (503) 494-4316
Fax: (503) 494-2365
Website:
Map and Directions
Authorized official contact:
Name: Sage, Megan A
Phone: (503) 494-5076

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X
Dental Providers / General Practice 1223G0001X
Dental Providers / Oral and Maxillofacial Pathology 1223P0106X
Dental Providers / Periodontics 1223P0300X
Dental Providers / Prosthodontics 1223P0700X
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X

Profile Details

NPI number 1740369818
LBN Legal business name Oregon Health & Science University
DBA Doing business as Ohsu Faculty Dental Practice
Authorized official Sage, Megan A
Entity Organization
Organization subpart 1 No
Enumeration date Nov 2nd, 2006
Last updated Mar 21st, 2023 - about 3 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 1740369818 NPPES
Oregon MEDICAID 500750380

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