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NPI Code Detail

MEDICARE: DR JEFFREY B VAN ORMAN

MEDICARE: DR JEFFREY B VAN ORMAN
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 DentistryD7342OR

General Provider Information

NPI Number : 1407897200
Entity Type Code : Organization
Provider Name (Legal Business Name) : DR JEFFREY B VAN ORMAN
Provider Business Mailing Address
First Line : 320 A AVE
Second Line :
City : LAKE OSWEGO
State : OR
Zip : 97034-3056
Country : US
Telephone Number : 503-675-0250
Fax Number : 503-675-0244
Provider Business Practice Location Address
First Line : 320 A AVE
Second Line :
City : LAKE OSWEGO
State : OR
Zip : 97034-3056
Country : US
Telephone Number : 503-675-0250
Fax Number : 503-675-0244
Authorized Official
Title or Position : OWNER
Name : DR. JEFFREY B VAN ORMAN
Credential :
Telephone Number : 503-675-0250
Provider Enumeration Date : 06/10/2006
Last Update Date : 08/22/2020

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Directions to “DR JEFFREY B VAN ORMAN ” Practice Location

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