Wayne H Mori

NPI 1073872404 - Dentist - 1223G0001X

NPI Details
NPI 1073872404
Enumeration Date 05/04/2012
Last Updated 05/04/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name WAYNE HARUO WAYNE
Position OWNER
Phone (503) 230-8814
Fax (503) 233-2264
Practice Location
700 NE MULTHOMAH
SUITE 850
PORTLAND OR, 97232, US
Phone (503) 230-8814
Fax (503) 233-2264
Business Location
700 NE MULTHOMAH
SUITE 850
PORTLAND OR, 97232, US
Phone (503) 230-8814
Fax (503) 233-2264
Toxanomy
Taxonomy Code 1223G0001X
License State Oregon
License Number D7483
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According to our database, Wayne H Mori NPI is 1073872404, taxonomy code is 1223G0001X and license number is D7483, license state is located at Oregon. Wayne H Mori physically located at 700 Ne Multhomah, Portland OR, 97232. NPI Number 1033115704 has the healthcare provider type.

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1073872404 NPI number is provided on an as is basis without warranty of any kind. 1073872404 is maintained by the National Plan & Provider Enumeration System. The contents of Wayne H Mori are for informational purposes only.