Organization
MARIE BAUMGARTNER DDS LLC
Active
Other names
Shoreview Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE BAUMGARTNER DDS (DENTIST /PRACTICE OWNER)
(503) 393-5133
Entity
Organization
Contact information
Practice address
5885 SHOREVIEW LN N., KEIZER, OR 97303
(503) 393-5133
(503) 400-4236
Mailing address
5885 SHOREVIEW LN N., KEIZER, OR 97303
(503) 393-5133
(503) 400-4236
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500607846
DMAD
OR
05
—
68114
—
OR
Enumeration date
02/03/2026
Last updated
02/03/2026
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