Organization · Type 2 NPI
Portland Dental Anesthesia
Dental Anesthesiology · Sherwood, OR
Practice location
21370 SW Langer Farms Pkwy #142
Sherwood, OR 97140-9137
Fax (503) 914-6685
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Anesthesiology Primary | 1223D0004X | D9387 (OR) |
Dental Anesthesiology: A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.
About NPI 1639604689
Portland Dental Anesthesia's National Provider Identifier is 1639604689, issued on Apr 27, 2017. The primary taxonomy on file is Dental Anesthesiology (1223D0004X), and the practice location is in Sherwood, OR. The record was last updated on Apr 27, 2017.