June Houser, DDS
Individual provider Active NPI Dentist · Cornelius, OR
NPI 1366814923 · NPPES record last updated Jun 30, 2016
Key facts
- NPI
- 1366814923
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- D10363 (OR)
- Practice address
- 1151 N Adair St
Cornelius, OR 97113-8900 - Phone
- (503) 359-5564
- Fax
- (503) 357-4371
- NPI assigned
- Oct 22, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160108000991 | OR | Order and Referring Only - Dentist |
3375845225 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D10363 | OR | Yes |
Addresses
Primary practice location
1151 N Adair St
Cornelius, OR 97113-8900
Mailing address
PO Box 568
Cornelius, OR 97113-0568
Phone (503) 352-8657
Other providers in Cornelius, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.