Epp Oregon LLC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

EPP OREGON LLC

Practice address

18735 SW Boones Ferry Rd
Tualatin, OR 97062-8487

Phone

(503) 855-4546

Fax

(503) 427-2726

NPI assigned

Dec 13, 2022

Last updated

Dec 13, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jason Bertollini

Title

Insurance Manager

Phone

(315) 450-0763

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Aaron R Welk, D.M.D.

  • Endodontics
  • Tualatin, OR
  • NPI 1780685503
  NPD (past)
• Amy E Welk, D.M.D.

  • Dentist
  • Tualatin, OR
  • NPI 1841347606
  NPD (past)

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

{
    "created_epoch": "1670889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670889600000",
    "number": "1952012635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 CONTINENTAL PL STE 300",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370271040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18735 SW BOONES FERRY RD",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970628487",
            "telephone_number": "503-855-4546",
            "fax_number": "503-427-2726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPP OREGON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-13",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A",
        "authorized_official_last_name": "BERTOLLINI",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "INSURANCE MANAGER",
        "authorized_official_telephone_number": "315-450-0763"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Michelle Engblom-Deglmann, LMFT
• Eric W Long MD PC
• Amunyo Sarah Eropu
• Erwin Weichel DMD Ms PC
• Vahid Thomas Eshraghi, D.M.D
• Bryan S Euzent, DDS

• Endodontics in Tualatin, OR
• Providers in Tualatin, OR by specialty
• Endodontics in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; 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.