- Practice location
- 4095 SW 144TH Ave Ste A, Beaverton, OR 97005-2368
- Phone
- 503-643-4719
- Fax
- 503-626-9488
- Last updated
- May 29, 2009
Beaverton Tendercare is a healthcare organization based in Beaverton, OR. Beaverton Tendercare practices in Beaverton, OR. The NPI Number for Beaverton Tendercare is 1235365602 and holds a License No. D6960 (OR). The current practice location address for Beaverton Tendercare is 4095 SW 144TH Ave Ste A, Beaverton, OR 97005-2368 and can be reached out via phone at 503-643-4719 and via fax at 503-626-9488.
Provider Profile Details
- NPI Number
- 1235365602
- Provider Name
- Beaverton Tendercare
- Provider Entity Type
- Organization
- Address
- 4095 SW 144TH Ave Ste A, Beaverton, OR 97005-2368
- Phone Number
- 503-643-4719
- Fax Number
- 503-626-9488
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Organization Subpart
- No
- Authorized Official
- Dr. Lennie D Wong, DMD · Doctor · 503-643-4719
- Other Names
- R. W. Thompson Dmd,pc (Doing Business As)
- Provider Enumeration Date
- May 29, 2009
- Last Update Date
- May 29, 2009
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 4095 SW 144TH Ave Ste A
Beaverton, OR 97005-2368 - City
- Beaverton
- State
- Oregon
- Zip
- 97005-2368
- Phone Number
- 503-643-4719
- Fax Number
- 503-626-9488
Provider Business Mailing Address Details
- Address
- 4095 SW 144TH Ave Ste A
Beaverton, OR 97005-2368 - City
- Beaverton
- State
- OR
- Zip
- 97005-2368
- Phone Number
- 503-643-4719
- Fax Number
- 503-626-9488
License Information
- License Number
- D6960
- License State
- OR
- Taxonomy
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Beaverton Tendercare?
The NPI number of Beaverton Tendercare is 1235365602. It was assigned on May 29, 2009 and is currently active in the NPPES registry.
What is the specialty of Beaverton Tendercare?
Beaverton Tendercare is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in OR under license number D6960.
Where does Beaverton Tendercare practice?
The practice location is 4095 SW 144TH Ave Ste A, Beaverton, OR 97005-2368. The office can be reached at 503-643-4719 (phone) or 503-626-9488 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1235365602 directly on the NPPES registry website.