| Columbia Oral Surgery | |
|
2824 Ne Wasco St Ste 230 Portland OR 97232-1772 | |
| (503) 289-9621 | |
| (503) 289-2930 |
| Full Name | Columbia Oral Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 2824 Ne Wasco St Ste 230, Portland, Oregon |
| Authorized Official Name and Position | Normund K Auzins (OWNER) |
| Authorized Official Contact | 5032899621 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Columbia Oral Surgery 2824 Ne Wasco St Ste 230 Portland OR 97232-1772 Ph: (503) 289-9621 | Columbia Oral Surgery 2824 Ne Wasco St Ste 230 Portland OR 97232-1772 Ph: (503) 289-9621 |
| NPI Number | 1215221361 |
|---|---|
| Provider Enumeration Date | 06/07/2011 |
| Last Update Date | 06/07/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215221361 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | D8996 (Oregon) | Primary |
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