| Oregon Endodontics | |
|
196 Catron St N Monmouth OR 97361-2303 | |
| (503) 400-4726 | |
| (503) 838-7210 |
| Full Name | Oregon Endodontics |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 196 Catron St N, Monmouth, Oregon |
| Authorized Official Name and Position | Ryan Homer Shurtz (SOLE MEMBER/ OWNER) |
| Authorized Official Contact | 5034004726 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oregon Endodontics 196 Catron St N Monmouth OR 97361-2303 Ph: (503) 400-4726 | Oregon Endodontics 196 Catron St N Monmouth OR 97361-2303 Ph: (503) 400-4726 |
| NPI Number | 1851764138 |
|---|---|
| Provider Enumeration Date | 11/09/2015 |
| Last Update Date | 11/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851764138 | NPI | - | NPPES |
| 1841553609 | Other | OR | PERSONAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | D10144 (Oregon) | Primary |
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