Dr. Jeffrey M Burstein
Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
12750 Sw 68th Ave
Tigard
, Oregon 97223-8596
Dr. Jeffrey M Burstein
Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
12750 Sw 68th Ave
Tigard
, Oregon 97223-8596
(503) 620-6797
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Jeffrey M Burstein
- 12750 Sw 68th Ave
- Portland, OR
- Zip : 97223-8596
- Phone : (503) 620-6797
Second Address
- Dr. Jeffrey M Burstein
- 12750 Sw 68th Ave
- Tigard, OR
- Zip : 97223-8596
- Phone : (503) 620-6797
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Is Dr. Jeffrey M Burstein a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 1223S0112X | Oral and Maxillofacial Surgeon | 48706 | CA |
| N | 1223S0112X | Oral and Maxillofacial Surgeon | D7213 | AZ |
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | D9280 | OR |
| N | 204E00000X | Oral & Maxillofacial Surgeon | A94009 | CA |
National Provider Identifier
| NPI | 1114121720 |
|---|---|
| Provider Name | Dr. Jeffrey M Burstein |
| First Address | Portland, OR 97223-8596 |
| Second Address | Tigard, OR 97223-8596 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/06/2007 |
| Last Update Date | 23/07/2012 |
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.