Dr. Patrick James Corning
Dentist Periodontist
2525 Nw Lovejoy St Ste 100
Portland
, Oregon 97210-2861
Dr. Patrick James Corning
Dentist Periodontist
2525 Nw Lovejoy St Ste 100
Portland
, Oregon 97210-2861
(503) 222-2844
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About
Features
Specialties
- Dentist
- Periodontist
Languages spoken
- English
Location
First Address
- Dr. Patrick James Corning
- 2525 Nw Lovejoy St Ste 100
- Portland, OR
- Zip : 97210-2861
- Phone : (503) 222-2844
Second Address
- Dr. Patrick James Corning
- 2525 Nw Lovejoy St Ste 100
- Portland, OR
- Zip : 97210-2861
- Phone : (503) 222-2844
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 122300000X | Dentist | D9882 | OR |
| N | 1223P0300X | Periodontist | ETN377 | TX |
National Provider Identifier
| NPI | 1063763167 |
|---|---|
| Provider Name | Dr. Patrick James Corning |
| First Address | Portland, OR 97210-2861 |
| Second Address | Portland, OR 97210-2861 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/09/2012 |
| Last Update Date | 22/02/2019 |
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.