Tysen Klafke
Denturist
975 Sw 1st Ave
Ontario
, Oregon 97914-2112
(541) 889-3750
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About
Features
Specialties
- Denturist
Languages spoken
- English
Location
First Address
- Tysen Klafke
- 975 Sw 1st Ave
- Ontario, OR
- Zip : 97914-2112
- Phone : (541) 889-3750
Second Address
- Tysen Klafke
- 975 Sw 1st Ave
- Ontario, OR
- Zip : 97914-2112
- Phone : (541) 889-3750
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 122400000X | Denturist | 10174720 | OR |
National Provider Identifier
| NPI | 1710346200 |
|---|---|
| Provider Name | Tysen Klafke |
| First Address | Ontario, OR 97914-2112 |
| Second Address | Ontario, OR 97914-2112 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/02/2016 |
| Last Update Date | 12/02/2016 |
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.