| James A Krippaehne Dmd | |
|
833 Sw 11th Ave #300 Portland OR 97205-2117 | |
| (503) 224-7815 | |
| (503) 222-0029 |
| Full Name | James A Krippaehne Dmd |
|---|---|
| Speciality | Dentist |
| Location | 833 Sw 11th Ave, Portland, Oregon |
| Authorized Official Name and Position | James A Krippaehne (OWNER) |
| Authorized Official Contact | 5032247815 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| James A Krippaehne Dmd 833 Sw 11th Ave #300 Portland OR 97205-2117 Ph: (503) 224-7815 | James A Krippaehne Dmd 833 Sw 11th Ave #300 Portland OR 97205-2117 Ph: (503) 224-7815 |
| NPI Number | 1164569638 |
|---|---|
| Provider Enumeration Date | 01/31/2007 |
| Last Update Date | 04/20/2008 |
| Medicare PECOS PAC ID | 1355642794 |
|---|---|
| Medicare Enrollment ID | O20170509002363 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164569638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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