NPI 1003181223

Viseh Sundberg DDS PC

Organisation General Practice Dentistry Portland, OR

Practice location

Address: 222 NW 10th Ave, Portland, OR 97209-3109
Phone: (503) 546-9079
Fax: (503) 546-5474

Authorised official

Name: Kevin Jon Sundberg
Title: Vice President
Phone: (503) 546-9079

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence D7735 (OR)

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Registry record

NPI: 1003181223
Entity type: Organization
NPI issued: 21 Mar 2012
Record last updated: 21 Mar 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.