MEDICARE: TRACI SAITO DMD, MS, MHA, PS

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	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry

General Provider Information

NPI Number	:	1447826334
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRACI SAITO DMD, MS, MHA, PS

Provider Business Mailing Address
First Line	:	300 SE 120TH AVE STE 900
Second Line	:
City	:	VANCOUVER
State	:	WA
Zip	:	98683-4094
Country	:	US
Telephone Number	:	360-256-7220
Fax Number	:	360-253-2907

Provider Business Practice Location Address
First Line	:	300 SE 120TH AVE STE 900
Second Line	:
City	:	VANCOUVER
State	:	WA
Zip	:	98683-4094
Country	:	US
Telephone Number	:	360-256-7220
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. TRACI SAITO
Credential	:	DMD
Telephone Number	:	360-256-7220

Provider Enumeration Date	:	06/01/2021
Last Update Date	:	12/01/2025

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