Fairview Orthodontics LLC

NPI #1184888307 in Fairview, Oregon

Provider Information

NPI Number: 1184888307
Entity Type: Organization
Organization Name: Fairview Orthodontics LLC
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Jul 16, 2008
Last Updated: Jul 16, 2008

Practice Location

Address: 1547 NE MARKET DR
City: Fairview
State: Oregon
ZIP Code: 97024-3864
Phone: (503) 666-8000

Authorized Official

Name: DR. JAMES JOSEPH JASPER, DDS
Title: MANAGER
Phone: (503) 666-8000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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