Organization · Type 2 NPI

Ous Oregon Institute of Technology

Dental Clinic/Center · Salem, OR

NPI number 1275894867 Active

Practice location

4000 Lancaster Drive NE, Dental Hygiene 8/ 101
Salem, OR 97305

Fax (503) 584-7105

Specialties and licenses

Taxonomy	Code	License
Dental Clinic/Center Primary	261QD0000X	None listed

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NPI record

NPI: 1275894867
Entity type: Organization (Type 2)
Issued: May 31, 2012
Last updated: May 31, 2012
Status: Active
Subpart: Yes of Oregon University System

Other names

<unavail>
Oregon Tech Dental Hygiene · other name

Authorized official

Mrs. Mary Ann Zemke
VP Finance and Administration
(541) 885-1106

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1275894867

Ous Oregon Institute of Technology's National Provider Identifier is 1275894867, issued on May 31, 2012. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Salem, OR. The record was last updated on May 31, 2012.