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NPI Code Detail

MEDICARE: DR. DOUGLAS SCOTT AINSLIE DMD MS

MEDICARE:  DR. DOUGLAS SCOTT AINSLIE  DMD MS
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
11223X0400XOrthodontics and Dentofacial Orthopedics Dentistry6057OR

General Provider Information

NPI Number : 1205961570
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DOUGLAS SCOTT AINSLIE DMD MS
Provider Business Mailing Address
First Line : 511 SW 10TH AVE
Second Line : SUITE 1307
City : PORTLAND
State : OR
Zip : 97205-2714
Country : US
Telephone Number : 503-227-6537
Fax Number : 503-227-3778
Provider Business Practice Location Address
First Line : 511 SW 10TH AVE
Second Line : SUITE 1307
City : PORTLAND
State : OR
Zip : 97205-2714
Country : US
Telephone Number : 503-227-6537
Fax Number : 503-227-3778
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2007
Last Update Date : 07/08/2007

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Directions to “ DR. DOUGLAS SCOTT AINSLIE DMD MS” Practice Location

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