Whitman, Anastacia M.
Whitman, Anastacia M. is an individual health care provider with primary practice located at 4548 N Albina Ave , Portland OR 97217-3010. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Whitman, Anastacia M. can be contacted via phone (503) 626-9711.Contact Information
Primary practice address
4548 N Albina Ave
Portland OR 97217-3010
Phone: (503) 626-9711
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 10970 | Washington |
| Dental Providers / Pediatric Dentistry | 1223P0221X | D8950 | Oregon |
Profile Details
| NPI number | 1972639623 |
|---|---|
| LBN Legal business name | Whitman, Anastacia M. |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 26th, 2007 |
| Last updated | Feb 10th, 2016 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972639623 | NPPES |
| Oregon | MEDICAID | 244432 |
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