MEDICARE: DR. JAMES W TOOTHAKER DDS

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
1	122300000X	Dentist	D8057	OR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386676377
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES W TOOTHAKER DDS

Provider Business Mailing Address
First Line	:	3760 SW LYLE CT
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97221-3963
Country	:	US
Telephone Number	:	503-222-7335
Fax Number	:

Provider Business Practice Location Address
First Line	:	3760 SW LYLE CT
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97221-3963
Country	:	US
Telephone Number	:	503-222-7335
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2006
Last Update Date	:	11/16/2015

Similar Medicare Providers

1699171918 — STEPHEN BOYER MD
Practice Location Address:

3708 SW LYLE CT
PORTLAND, OR
97221-3963

Practice Phone: 503-703-5889
Practice Fax:

1528984416 — OMAR HASHI
Practice Location Address:

16323 SE STARK ST STE 2
PORTLAND, OR
97233-3963

Practice Phone: 503-265-8922
Practice Fax: 971-420-2990

1134288129 — DR. MARY JANE FERRIER PHD
Practice Location Address:

19 SOUTH ST , SUITE A
PORTLAND, ME
04101-3963

Practice Phone: 207-774-7306
Practice Fax:

1174732812 — DR. MILTON EARL DUNCAN DC, FACO, DABCO
Practice Location Address:

6026 NE SANDY BLVD
PORTLAND, OR
97213-3963

Practice Phone: 503-281-7722
Practice Fax: 503-281-8521

1043449390 — ANDREA CLAUDINE SPENCER LMT
Practice Location Address:

19 SOUTH ST , SUITE 6
PORTLAND, ME
04101-3963

Practice Phone: 207-252-8060
Practice Fax:

1548591290 — MELANIE STEWART CUTLER MD
Practice Location Address:

19 SOUTH ST
PORTLAND, ME
04101-3963

Practice Phone: 207-650-1789
Practice Fax:

Directions to “ DR. JAMES W TOOTHAKER DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.