Active NPIIndividual providerSole proprietor

Dr. Travis L Agee, DMD

Dentist, General Practice in Portland, Oregon

NPI Number1659503803
Practice location
6439 NE Sandy Blvd, Portland, OR 97213-4505
Fax
503-284-3694
Last updated
November 16, 2012

Travis Lee Agee is a Dentist, General Practice based in Portland, OR. Travis Lee Agee practices in Portland, OR and has the professional credentials of DMD. The NPI Number for Travis Lee Agee is 1659503803 and holds a License No. D9335 (OR). The current practice location address for Travis Lee Agee is 6439 NE Sandy Blvd, Portland, OR 97213-4505 and can be reached out via phone at 503-284-3588 and via fax at 503-284-3694.

Provider Profile Details

NPI Number
1659503803
Provider Name
Travis Lee Agee
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
6439 NE Sandy Blvd, Portland, OR 97213-4505
Phone Number
503-284-3588
Fax Number
503-284-3694
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
August 20, 2009
Last Update Date
November 16, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
6439 NE Sandy Blvd
Portland, OR 97213-4505
State
Oregon
Zip
97213-4505
Phone Number
503-284-3588
Fax Number
503-284-3694
Portland, OR 97213Get directions →

Provider Business Mailing Address Details

Address
6439 NE Sandy Blvd
Portland, OR 97213-4505
City
Portland
State
OR
Zip
97213-4505
Phone Number
503-284-3588
Fax Number
503-284-3694

License Information

License Number
D9335
License State
OR
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Dentist, General Practice providers near Portland, OR

View all Dentist, General Practice providers in Portland →

Frequently Asked Questions

What is the NPI number of Dr. Travis L Agee, DMD?

The NPI number of Dr. Travis L Agee, DMD is 1659503803. It was assigned on August 20, 2009 and is currently active in the NPPES registry.

What is the specialty of Dr. Travis L Agee, DMD?

Dr. Travis L Agee, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in OR under license number D9335.

Where does Dr. Travis L Agee, DMD practice?

The practice location is 6439 NE Sandy Blvd, Portland, OR 97213-4505. The office can be reached at 503-284-3588 (phone) or 503-284-3694 (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 1659503803 directly on the NPPES registry website.

Browse related providers