Individual provider · Type 1 NPI

Nika Lustgarten, DDS

Student in an Organized Health Care Education/Training Program · Portland, OR

NPI number 1487005187 Active

Practice location

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011

Call (503) 494-8211 Map

Other practice locations

  • 430 SW 13th Ave Apt 1009, Portland, OR 97205-2366 · (608) 443-5482

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X1001515-15 (WI)
Student in an Organized Health Care Education/Training Program Primary 390200000XD11224 (OR)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1487005187

Nika Lustgarten, DDS's National Provider Identifier is 1487005187, issued on Jun 24, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Portland, OR. The record was last updated on May 17, 2023.