| Fairview Orthodontics Llc | |
|
1547 Ne Market Dr Fairview OR 97024-3864 | |
| (503) 666-8000 | |
| Not Available |
| Full Name | Fairview Orthodontics Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1547 Ne Market Dr, Fairview, Oregon |
| Authorized Official Name and Position | James Joseph Jasper (MANAGER) |
| Authorized Official Contact | 5036668000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairview Orthodontics Llc 1547 Ne Market Dr Fairview OR 97024-3864 Ph: (503) 666-8000 | Fairview Orthodontics Llc 1547 Ne Market Dr Fairview OR 97024-3864 Ph: (503) 666-8000 |
| NPI Number | 1184888307 |
|---|---|
| Provider Enumeration Date | 07/16/2008 |
| Last Update Date | 07/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184888307 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D8879 (Oregon) | Primary |