The Dental Foundation of Oregon

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

THE DENTAL FOUNDATION OF OREGON

Practice address

10505 SE 17TH Ave
Milwaukie, OR 97222-7475

Phone

(503) 329-8877

Fax

(503) 218-2004

NPI assigned

Aug 20, 2008

Organization subpart

No

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

Authorized official

Name

Mary A Daly

Title

Tooth Taxi Program Manager

Phone

(503) 329-8877

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219190400000",
    "number": "1487801528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2448",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970702448",
            "telephone_number": "503-594-0880",
            "fax_number": "503-218-2448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10505 SE 17TH AVE",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972227475",
            "telephone_number": "503-329-8877",
            "fax_number": "503-218-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DENTAL FOUNDATION OF OREGON",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-20",
        "last_updated": "2008-08-20",
        "status": "A",
        "authorized_official_last_name": "DALY",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "TOOTH TAXI PROGRAM MANAGER",
        "authorized_official_telephone_number": "503-329-8877"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natasha Ternes
• Katrice Thabet-Chapin
• Henry Thamas, PTA
• Kayla Jean Thamert, ND
• Shannon Tharp, LMT.
• The Grounding Touch
• The Oregon Hemorrhoid Clinic
• The Spark of Life Chiropractic & Wellness
• Amy Theppote, DPM
• Bryan D Thieme, PSYD

• All providers in Milwaukie, OR
• Dentist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; 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.