Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. VICTOR R MANCUSO, D.D.S., M.S.
Active Sole ProprietorDR. VICTOR R MANCUSO, D.D.S., M.S. is a Endodontics healthcare provider located in PORTLAND, Oregon. NPI 1508967704 is currently active in the NPPES registry. Verify at CMS.
Endodontics · PORTLAND, OR
Registration Details
- NPI Number
- 1508967704
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 26, 2006 (19.840488020091 yrs)
- Last Updated
- Apr 14, 2021
- Licenses
-
37698 (CA)D10405 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6400 SE LAKE RD STE 140PORTLAND, OR, 972222194Browse OR providers · Browse ZIP 97222
- Phone
- 5034964766
- Fax
- 5034964700
- Primary Specialty
-
Endodontics
1223E0200X
- Additional Specialty
- Endodontics
Other Endodontics Providers in PORTLAND, OR
| Name | Credential | NPI |
|---|---|---|
| DR. TERRY L ISOM | DMD | 1619973070 |
| DR. DOUGLAS C BOYD | DMD, MS | 1194721555 |
| DR. CHRISTINA VY | D.M.D | 1144227240 |
| DR. DAVID C. KREUTZER | D.M.D. | 1639177678 |
| DR. CHRIS JAMES LAMPERT | D.M.D. | 1275531055 |
| KEVIN RAY EDWARDS | DDS LLC | 1821097122 |
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.