COLUMBIA PARK ORAL SURGERY PC


Address: 3549 N Lombard, Portland, OR 97217-5901
Phone: 5032899621

COLUMBIA PARK ORAL SURGERY PC (NPI# 1639103658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639103658
Entity Type Organization
Organization Name COLUMBIA PARK ORAL SURGERY PC
Practice Address 3549 N Lombard
Portland
OR 97217-5901
Practice Telephone 5032899621
Practice Fax Number 5032892930
Mailing Telephone 5032899621
Mailing Fax Number 5032892930
Enumeration Date 2006-07-10
Last Update Date 2020-08-22
Authorized Official Name MR. JAN A KOONING (PRESIDENT)
Authorized Official Telephone 5032899621
Authorized Official Credential DMD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
D6081 OR Dental Providers

Office Location

Street Address 3549 N LOMBARD
City PORTLAND
State OR
Zip Code 97217-5901

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770599144 Jan Andrew Kooning Dentist 3549 N Lombard, Portland, OR 97217-5901 2006-07-31

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1235643602 Autism Outreach of Oregon Occupational Therapist 10350 N Vancouver Way #1043, Portland, OR 97217 2017-11-21
1689183717 Kai-uwe H. Hahn Dmd Dba Edelweiss Dental Clinic/Center 3503 N Lombard Street, Portland, OR 97217 2017-09-20
1407308125 Occupational Health Centers of The Southwest, P.a. (tx) Clinic/Center 3449 N Anchor Street, Ste 300a, Portland, OR 97217 2016-10-28
1750740577 Sheila Amoo Adult Companion 236 N Killingworth St. Apt.b104, Portland, OR 97217 2016-02-22
1801282199 Justine Osborn Specialist 4310 N. Interstate Ave, Portland, OR 97217 2015-04-13
1578957742 Paul Buck Md, Dds, PC Clinic/Center 3332 N Lombard St, Suite C, Portland, OR 97217 2015-03-25
1295158186 Rebecca Bulleri Massage Therapist 5416 N. Maryland Ave, Portland, OR 97217 2014-01-28
1659793107 Shellmire Unlimited, P.C. Community/Behavioral Health 4134 N Vancouver Avenue, Suite 102, Portland, OR 97217 2014-01-16
1417207994 Sportland Acupuncture LLC Acupuncturist 1025 N Humboldt, Portland, OR 97217 2012-09-12
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Taxonomy Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356662845 Baber Nazir Khatib Dentist 1849 Nw Kearney St Ste 300, Portland, OR 97209-1453 2010-06-18
1780728998 Normund Karl Auzins Dentist 3549 N Lombard St, Portland, OR 97217-5901 2007-02-19
1962412312 Steven Wayne Beadnell Dentist 11786 Sw Barnes Rd Ste 110, Portland, OR 97225-5926 2006-08-08
1881674042 Kim K Erickson Dentist 511 10th Ave Suite 808, Portland, OR 97205-4661 2006-01-21
1871571711 Daniel Joseph Traub Dentist 131 Johnson Rd Suite 3, Portland, ME 04102 2006-01-01
1972588374 Julie Ann Smith Dentist 8931 Se Foster Rd, Portland, OR 97266-4661 2005-12-08
1952717084 Maine Coast Oral Surgery Dentist 1601 Congress St, Portland, ME 04102-2102 2014-07-09
1740695527 Adam Peter Fagin Dentist 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 2014-06-30
1073928289 Nadir Elias Dentist 1849 Nw Kearney St Ste 300, Portland, OR 97209-1453 2014-06-25
1821352238 Caitlin Barstow Low Magraw Dentist 1849 Nw Kearney St Ste 300, Portland, OR 97209-1453 2012-06-29
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Competitor

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City PORTLAND
Zip Code 97217

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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