Healthcare Provider Details

I. General information

NPI: 1164666798
Provider Name (Legal Business Name): ALICE B DEUTSCH D.M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2009
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3647 W 18TH AVE
EUGENE OR
97402-3161
US

IV. Provider business mailing address

290 NW 28TH ST
REDMOND OR
97756-5514
US

V. Phone/Fax

Practice location:
  • Phone: 541-686-2444
  • Fax:
Mailing address:
  • Phone: 541-208-2928
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberD11981
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: