# MARIAN DE STOPPELAAR DMD PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Marian L Pattison
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871580225
- **Authorized official:** MARIAN L DE STOPPELAAR DMD (PRES OF PC DENTIST)
- **Authorized official phone:** (503) 786-6895

## Contact information

- **Practice address:** 2305 S E WASHINGTON ST, STE 103, MILWAUKIE, OR 97222-7647
- **Practice address phone:** (503) 786-6895
- **Mailing address:** 2305 S E WASHINGTON ST, STE 103, MILWAUKIE, OR 97222-7647
- **Mailing address phone:** (503) 786-6895

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | 2967 | OR | Yes |

## Other

- **Enumeration date:** 09/30/2005
- **Last updated:** 08/22/2020