Mark O Shoger
Orthodontists
14780 Sw Osprey Dr Suite 345
Beaverton
, Oregon 97007-8028
Mark O Shoger
Orthodontists
14780 Sw Osprey Dr Suite 345
Beaverton
, Oregon 97007-8028
(503) 579-2495
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About
Features
Specialties
- Orthodontists
Languages spoken
- English
Location
First Address
- Mark O Shoger
- 14780 Sw Osprey Dr Suite 345
- Beaverton, OR
- Zip : 97007-8028
- Phone : (503) 579-2495
Second Address
- Mark O Shoger
- 14780 Sw Osprey Dr Suite 345
- Beaverton, OR
- Zip : 97007-8028
- Phone : (503) 579-2495
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223X0400X | Orthodontists | D6564 | OR |
National Provider Identifier
| NPI | 1003032483 |
|---|---|
| Provider Name | Mark O Shoger |
| First Address | Beaverton, OR 97007-8028 |
| Second Address | Beaverton, OR 97007-8028 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/04/2007 |
| Last Update Date | 08/07/2007 |
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.