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NPI Code Detail

MEDICARE: DR. SCOTT R HVAL DMD

MEDICARE:  DR. SCOTT R HVAL  DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry6418OR

General Provider Information

NPI Number : 1184621195
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SCOTT R HVAL DMD
Provider Business Mailing Address
First Line : 6736 SE POWELL BLVD
Second Line :
City : PORTLAND
State : OR
Zip : 97206-2637
Country : US
Telephone Number : 503-771-3828
Fax Number : 503-771-6471
Provider Business Practice Location Address
First Line : 9002 NW WOOD ROSE LOOP
Second Line :
City : PORTLAND
State : OR
Zip : 97229-4189
Country : US
Telephone Number : 503-291-1368
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2005
Last Update Date : 07/08/2007

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Directions to “ DR. SCOTT R HVAL DMD” Practice Location

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