MEDICARE: DR. GENA VINSKY DMD

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	122300000X	Dentist	D9907	OR

General Provider Information

NPI Number	:	1962834861
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GENA VINSKY DMD

Provider Business Mailing Address
First Line	:	7320 SW HUNZIKER RD STE 300
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97223-2302
Country	:	US
Telephone Number	:	503-941-3118
Fax Number	:

Provider Business Practice Location Address
First Line	:	3300 SE DWYER DR STE 302
Second Line	:
City	:	MILWAUKIE
State	:	OR
Zip	:	97222-6548
Country	:	US
Telephone Number	:	503-850-4479
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/01/2013
Last Update Date	:	03/16/2026

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