Organization Active NPI

Patrick W Morrissey DDS LLC

  • Dentist
  • Lake Oswego, OR
National Provider Identifier
1760430912
Registry record updated Oct 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D7762 Issued in OR
Legal business name
PATRICK W MORRISSEY DDS LLC
Practice address
17437 SW Boones Ferry Road
Building B Suite 400
Lake Oswego, OR 97035
Phone
(503) 699-6699
Fax
(503) 699-7676
NPI assigned
May 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2008

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

Authorized official

Name
Dr. Patrick William Morrissey, DDSNPI 1427297944
Title
Dentist
Phone
(503) 699-6699

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X D7762 OR Primary

Addresses

Primary practice location

17437 SW Boones Ferry Road
Building B Suite 400
Lake Oswego, OR 97035

Mailing address

17437 SW Boones Ferry Road
Building B Suite 400
Lake Oswego, OR 97035
Phone (503) 699-6699

Other names 1

  • Boones Ferry Dental Doing business as

National Provider Directory

National Provider Directory

Locations

17437 Boones Ferry Rd
Ste 400
Lake Oswego, OR 97035
Phone (503) 636-4069

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225238400000",
    "number": "1760430912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17437 SW BOONES FERRY ROAD",
            "address_2": "BUILDING B SUITE 400",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "97035",
            "telephone_number": "503-699-6699",
            "fax_number": "503-699-7676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17437 SW BOONES FERRY ROAD",
            "address_2": "BUILDING B SUITE 400",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "97035",
            "telephone_number": "503-699-6699",
            "fax_number": "503-699-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK W MORRISSEY DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2008-10-29",
        "status": "A",
        "authorized_official_last_name": "MORRISSEY",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "503-699-6699",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OR",
            "license": "D7762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boones Ferry Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Oswego, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.