NW Headache Center, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

D9440 Issued in OR

Legal business name

NW HEADACHE CENTER, LLC

Practice address

1042 NW Norman Ave Ste 210
Gresham, OR 97030-5554

Phone

(503) 665-1115

NPI assigned

Sep 11, 2015

Organization subpart

No

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

Authorized official

Name

Curtis Bedont, DMD

Title

Member/Manager

Phone

(503) 665-1115

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1441929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441929600000",
    "number": "1386012029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1042 NW NORMAN AVE STE 210",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970305554",
            "telephone_number": "503-665-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1042 NW NORMAN AVE STE 210",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970305554",
            "telephone_number": "503-665-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NW HEADACHE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-11",
        "last_updated": "2015-09-11",
        "status": "A",
        "authorized_official_last_name": "BEDONT",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_title_or_position": "MEMBER/MANAGER",
        "authorized_official_telephone_number": "503-665-1115",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OR",
            "license": "D9440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Natalie Renee Nutting, AAS
• Nuwa Integrative Wellness, LLC
• NW Dietitian LLC
• Rachael Susan Nye, BCBA
• Charles Richard O'Bannon, PH.D.
• Jane O'Brien
• Shanelle Deann O'Dell, PA-C
• Allison Jane O'Meara, FNP

• Dental Clinic/Center in Gresham, OR
• Providers in Gresham, OR by specialty
• Dental Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2015; 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.