Dr. David Jacob Raphael
Pediatric Dentist
2323 Nw Westover Rd
Portland
, Oregon 97210-3524
Dr. David Jacob Raphael
Pediatric Dentist
2323 Nw Westover Rd
Portland
, Oregon 97210-3524
(503) 893-2889
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About
Features
Specialties
- Pediatric Dentist
Languages spoken
- English
Location
First Address
- Dr. David Jacob Raphael
- 2323 Nw Westover Rd
- Portland, OR
- Zip : 97210-3524
- Phone : (503) 893-2889
Second Address
- Dr. David Jacob Raphael
- 2323 Nw Westover Rd
- Portland, OR
- Zip : 97210-3524
- Phone : (503) 893-2889
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0221X | Pediatric Dentist | D9732 | OR |
| N | 1223P0221X | Pediatric Dentist | DE 60257230 | WA |
National Provider Identifier
| NPI | 1104142900 |
|---|---|
| Provider Name | Dr. David Jacob Raphael |
| First Address | Portland, OR 97210-3524 |
| Second Address | Portland, OR 97210-3524 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/04/2010 |
| Last Update Date | 19/10/2016 |
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.