- Practice location
- 14125 SW Farmington RD, Beaverton, OR 97005-2567
- Phone
- 503-646-4432
- Fax
- 971-223-1710
- Last updated
- January 31, 2018
Jason Atack is a Dentist based in Beaverton, OR. Jason Atack practices in Beaverton, OR and has the professional credentials of DMD. The NPI Number for Jason Atack is 1235382557 and holds a License No. 9201 (OR). The current practice location address for Jason Atack is 14125 SW Farmington RD, Beaverton, OR 97005-2567 and can be reached out via phone at 503-646-4432 and via fax at 971-223-1710.
Provider Profile Details
- NPI Number
- 1235382557
- Provider Name
- Jason Atack
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 14125 SW Farmington RD, Beaverton, OR 97005-2567
- Phone Number
- 503-646-4432
- Fax Number
- 971-223-1710
- Primary Taxonomy
- Dentist · 122300000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 30, 2008
- Last Update Date
- January 31, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 14125 SW Farmington RD
Beaverton, OR 97005-2567 - City
- Beaverton
- State
- Oregon
- Zip
- 97005-2567
- Phone Number
- 503-646-4432
- Fax Number
- 971-223-1710
Provider Business Mailing Address Details
- Address
- 14125 SW Farmington RD
Beaverton, OR 97005-2567 - City
- Beaverton
- State
- OR
- Zip
- 97005-2567
- Phone Number
- 503-646-4432
- Fax Number
- 971-223-1710
License Information
- License Number (1)
- 9201
- License State (1)
- OR
- Taxonomy (1)
- Dentist, General Practice · 1223G0001X
- License Number (2)
- d9201
- License State (2)
- OR
- Taxonomy (2)
- Dentist · 122300000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentists near Beaverton, OR
View all Dentists in Beaverton →Frequently Asked Questions
What is the NPI number of Jason Atack, DMD?
The NPI number of Jason Atack, DMD is 1235382557. It was assigned on October 30, 2008 and is currently active in the NPPES registry.
What is the specialty of Jason Atack, DMD?
Jason Atack, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in OR under license number 9201.
Where does Jason Atack, DMD practice?
The practice location is 14125 SW Farmington RD, Beaverton, OR 97005-2567. The office can be reached at 503-646-4432 (phone) or 971-223-1710 (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 1235382557 directly on the NPPES registry website.