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

Dr. Travis L Agee, DMD is a Dentist, General Practice based in Portland, OR. Dr. Travis L Agee, DMD holds the professional credentials of DMD. The NPI number for Dr. Travis L Agee, DMD is 1659503803 and holds license No. D9335 (OR). The current practice location address is 6439 NE Sandy Blvd, Portland, OR 97213-4505 and the office can be reached by phone at 503-284-3588 and by fax at 503-284-3694. The NPI was assigned on August 20, 2009 and the record was last updated in NPPES on November 16, 2012.

●Provider Profile Details

NPI Number
1659503803
Provider Name
Travis Lee Agee
Credential
DMD
Entity Type
Individual (Type 1 NPI)
Gender
Male
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Enumeration Date
August 20, 2009
Last Update Date
November 16, 2012
NPI Status
Active

◉Business Practice Location Address

Address
6439 NE Sandy Blvd
Portland, OR 97213-4505
State
Oregon
ZIP
97213-4505
Country
US
Phone Number
503-284-3588
Fax Number
503-284-3694

Get directions →

✉Business Mailing Address

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

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Dentist, General Practice1223G0001XYesD9335OR

#Other Provider Identifiers

No legacy or other 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 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) and holds license No. D9335 (OR).

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 at npiregistry.cms.hhs.gov.

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