Organization
FAIRVIEW ORTHODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES JOSEPH JASPER DDS (MANAGER)
(503) 666-8000
Entity
Organization
Contact information
Practice address
1547 NE MARKET DR, FAIRVIEW, OR 97024-3864
(503) 666-8000
Mailing address
1547 NE MARKET DR, FAIRVIEW, OR 97024-3864
(503) 666-8000
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D8879
OR
Other
Enumeration date
07/16/2008
Last updated
07/16/2008
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