MEDICARE: DR. OWEN COMBE 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	1223G0001X	General Practice Dentistry	DE61029537	WA
2	1223G0001X	General Practice Dentistry	D8014	OR

General Provider Information

NPI Number	:	1972756484
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. OWEN COMBE DMD

Provider Business Mailing Address
First Line	:	16500 SE 15TH ST STE 180
Second Line	:
City	:	VANCOUVER
State	:	WA
Zip	:	98683-9666
Country	:	US
Telephone Number	:	360-695-3369
Fax Number	:	360-695-0215

Provider Business Practice Location Address
First Line	:	16500 SE 15TH ST STE 180
Second Line	:
City	:	VANCOUVER
State	:	WA
Zip	:	98683-9666
Country	:	US
Telephone Number	:	360-695-3369
Fax Number	:	360-695-0215

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

Provider Enumeration Date	:	10/28/2008
Last Update Date	:	06/12/2026

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