Richard Ernest Aronstein, DDS
Individual provider Active NPI Dentist · Portland, OR
NPI 1396771986 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1396771986
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 5586 (OR)
- Practice address
- 822 NE 181St Ave
Portland, OR 97230 - Phone
- (503) 661-5210
- NPI assigned
- Jun 24, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5586 | OR | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 5586 | OR | Yes |
Addresses
Primary practice location
822 NE 181St Ave
Portland, OR 97230
Mailing address
221 SW Nancy Cir
Gresham, OR 97030-6525
Phone (503) 667-6958
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.