Dove Tail LLC

Primary specialty

Other Specialist/TechnologistTaxonomy code 246Z00000X

Legal business name

DOVE TAIL LLC

Practice address

7100 SW Hampton St Ste 209
Tigard, OR 97223-8364

Phone

(503) 349-2241

NPI assigned

Oct 9, 2023

Organization subpart

No

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

Authorized official

Name

Jennah Oliver

Title

Owner

Phone

(503) 349-2241

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1696809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696809600000",
    "number": "1245011139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 SW HAMPTON ST STE 209",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238364",
            "telephone_number": "503-349-2241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 SW HAMPTON ST STE 209",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238364",
            "telephone_number": "503-349-2241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOVE TAIL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-09",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-07",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "JENNAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-349-2241"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Tigard, OR by specialty
• Other Specialist/Technologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; 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.