Philbert Cosmas Doleac JR.
Orthodontists
10850 Ne Halsey St
Portland
, Oregon 97220-3047
Philbert Cosmas Doleac JR.
Orthodontists
10850 Ne Halsey St
Portland
, Oregon 97220-3047
(503) 281-8848
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About
Features
Specialties
- Orthodontists
Languages spoken
- English
Location
First Address
- Philbert Cosmas Doleac JR.
- 1927 Ne Thompson St
- Portland, OR
- Zip : 97212-4625
- Fax : (503) 281-8848
- Phone : (503) 281-6658
Second Address
- Philbert Cosmas Doleac JR.
- 10850 Ne Halsey St
- Portland, OR
- Zip : 97220-3047
- Fax : (503) 255-8505
- Phone : (503) 255-1694
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223X0400X | Orthodontists | D6634 | OR |
National Provider Identifier
| NPI | 1073573432 |
|---|---|
| Provider Name | Philbert Cosmas Doleac JR. |
| First Address | Portland, OR 97212-4625 |
| Second Address | Portland, OR 97220-3047 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/03/2006 |
| Last Update Date | 10/09/2008 |
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.