Lynn D. Mortenson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5883 Issued in OR

Practice address

4509 S 6TH St
Suite 302
Klamath Falls, OR 97603-4880

Phone

(541) 883-2630

Fax

(541) 883-2630

NPI assigned

Apr 3, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194846121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4509 S 6TH ST",
            "address_2": "SUITE 302",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976034880",
            "telephone_number": "541-883-2630",
            "fax_number": "541-883-2630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4509 S 6TH ST",
            "address_2": "SUITE 302",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976034880",
            "telephone_number": "541-883-2630",
            "fax_number": "541-883-2630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORTENSON",
        "first_name": "LYNN",
        "middle_name": "D.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "5883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Morrison
• Barbara Ann Morrow, BS QMHA
• Holly Morrow
• Bradley S Mortenson, D.M.D
• Grethe June Mortenson, CRNP
• Michelle Morton
• Rebecca Therese Morton, MD
• Ben Mosebach, LPC
• Patti L Mota, CADC-I
• Motion Medic Physical Therapy LLC

• General Practice Dentistry in Klamath Falls, OR
• Providers in Klamath Falls, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.