Healthcare Provider Details

I. General information

NPI: 1659294957
Provider Name (Legal Business Name): KEVIN PATRICK MURRAY DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

298 E GLADYS AVE STE C
HERMISTON OR
97838-1803
US

IV. Provider business mailing address

64132 RHEA CREEK RD
IONE OR
97843-7434
US

V. Phone/Fax

Practice location:
  • Phone: 541-289-2170
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberD12379
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: