DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JASON ATACK, DMD

Active Sole Proprietor

JASON ATACK, DMD is a Dentist healthcare provider located in BEAVERTON, Oregon. NPI 1235382557 is currently active in the NPPES registry. Verify at CMS.

Dentist · BEAVERTON, OR

Registration Details

NPI Number
1235382557
Provider Type
Individual
Gender
Male
NPI Issued
Oct 30, 2008 (17.614476798762 yrs)
Last Updated
Jan 31, 2018
Licenses
9201 (OR)
D9201 (OR)
Sole Proprietor
Yes

Practice Information

Address
14125 SW FARMINGTON RD
BEAVERTON, OR, 970052567
Browse OR providers · Browse ZIP 97005
Phone
5036464432
Fax
9712231710
Primary Specialty
Dentist
122300000X
Additional Specialty
Dentist

Other Dentist Providers in BEAVERTON, OR

Name Credential NPI
MELODEE S TRAN DMD 1386605871
DR. MAN VAN CHAU DMD 1366491409
DR. BRADLEY F. MARINEAU D.M.D. 1841204617
DR. MARGARET JANE MCEWEN DDS 1437168077
DR. JODI DOTSON D.M.D. 1114009180
DR. THOMAS JOSEPH DEIMLING DMD 1306916010
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.