Individual
IOANE OFISA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1880 LANCASTER DR NE STE 121, SALEM, OR 97305-1069
(888) 468-0022
(541) 504-3907
Mailing address
PO BOX 490, REDMOND, OR 97756-0092
(888) 468-0022
(541) 504-3907
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D8807
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
240404
—
OR
Enumeration date
08/11/2006
Last updated
10/03/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us