Carlos Alberto Jurado
Prosthodontist
2730 Sw Moody Ave
Portland
, Oregon 97201-5042
Carlos Alberto Jurado
Prosthodontist
2730 Sw Moody Ave
Portland
, Oregon 97201-5042
(503) 346-4709
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About
Features
Specialties
- Prosthodontist
Languages spoken
- English
Location
First Address
- Carlos Alberto Jurado
- 2730 Sw Moody Ave
- Portland, OR
- Zip : 97201-5042
- Phone : (503) 346-4709
Second Address
- Carlos Alberto Jurado
- 2730 Sw Moody Ave
- Portland, OR
- Zip : 97201-5042
- Phone : (503) 346-4708
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0700X | Prosthodontist | DF0044 | OR |
National Provider Identifier
| NPI | 1255809810 |
|---|---|
| Provider Name | Carlos Alberto Jurado |
| First Address | Portland, OR 97201-5042 |
| Second Address | Portland, OR 97201-5042 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/11/2018 |
| Last Update Date | 12/11/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| DF0044 | DENTA DELTA (01) | OR |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.