Active NPI
Patrick W Morrissey DDS LLC
- Dentist
- Lake Oswego, OR
National Provider Identifier
1760430912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D7762
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Patrick William Morrissey, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Dentist
- Lake Oswego, OR
- NPI 1427297944
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.