John Pham DDS PC

Primary specialty

DentistTaxonomy code 122300000X

License

D6843 Issued in OR

Legal business name

JOHN PHAM DDS PC

Practice address

4301 NE Tillamook
Portland, OR 97213

Phone

(503) 331-1322

NPI assigned

Oct 16, 2006

Organization subpart

No

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

Authorized official

Name

John Pham, DDS

Title

President

Phone

(503) 331-1322

Specialties & licenses 1

Addresses

Other names 1

• Hollywood Dental Clinic Other name

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841380185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 NW LOUISIANA AVE",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "98532",
            "telephone_number": "360-740-6212",
            "fax_number": "360-740-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 NE TILLAMOOK",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97213",
            "telephone_number": "503-331-1322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN PHAM DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-331-1322",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "OR",
            "license": "D6843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hollywood Dental Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• John J Oshea, MD, LLC
• John J Park LLC
• John L V Platt, DC PC
• John Lenkin, LLC
• John M Barnes DPM LLC
• John S Lee MD, PC
• John T. Pham, DO, PC
• John Worthington DDS, PC
• Elizabeth Ellen John, L.M.T.
• Jeffrey John, PHARMACY TECHNICIAN

• Dentist in Portland, OR
• Providers in Portland, OR by specialty
• Dentist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.