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

PETERSON PERIODONTICS & IMPLANTOLOGY LLC

Active Organization

PETERSON PERIODONTICS & IMPLANTOLOGY LLC is a Periodontology organization located in PORTLAND, Oregon. NPI 1801310008 is currently active in the NPPES registry. Verify at CMS.

Periodontology · PORTLAND, OR

Registration Details

NPI Number
1801310008
Provider Type
Organization
NPI Issued
Jul 29, 2017 (9.0787647064007 yrs)
Last Updated
Jul 29, 2017
License
D9905 (OR)

Practice Information

Address
5528 SE POWELL BLVD
PORTLAND, OR, 972062956
Browse OR providers · Browse ZIP 97206
Phone
5037881008
Primary Specialty
Periodontology
1223P0300X

Other Periodontology Organizations in PORTLAND, OR

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.