Organization
OREGON ENDODONTICS LLC
Active
Other names
Oregon Endodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN HOMER SHURTZ DDS, MS (SOLE MEMBER/ OWNER)
(503) 400-4726
Entity
Organization
Contact information
Practice address
196 CATRON ST N, MONMOUTH, OR 97361-2303
(503) 400-4726
(503) 838-7210
Mailing address
196 CATRON ST N, MONMOUTH, OR 97361-2303
(503) 400-4726
(503) 838-7210
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
D10144
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1841553609
PERSONAL NPI
OR
Enumeration date
11/09/2015
Last updated
11/09/2015
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