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Active NPI 1619358256 Organization (Entity Type 2)

Harry D Chambers Dds Pc

Clinic/Center - Dental • Gresham, OR

About Harry D Chambers Dds Pc NPI 1619358256 Summary

Harry D Chambers Dds Pc is a verified healthcare organization specializing in Clinic/Center - Dental operating in Gresham, OR. Located at 21825 SE STARK ST, SUITE A, this facility provides patient care and medical services under National Provider Identifier (NPI) 1619358256.

Administrative operations and authorized compliance are overseen by Harry Chambers (President).

Facility Location & Contact Primary Location

Facility Address

21825 Se Stark St
Suite A

Gresham, OR 970302075

Telephone 5036659737
Fax 5036667709

Authorized Official Information

Authorized Contact Name

Harry Chambers , DDS

Title / Role

President

Official Telephone

5036659737

Facility Classifications & Specialties

Clinic/Center - Dental Primary Taxonomy

NUCC Taxonomy Code: 261QD0000X

Definition to come...

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active June 09, 2015

NPI status registered as active in NPPES database

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Updated Practice Location June 09, 2015

Registered at 21825 SE STARK ST, SUITE A, GRESHAM, OR 970302075 (Tel: 5036659737)

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Updated Business Mailing Address June 09, 2015

Registered at 21825 SE STARK ST, SUITE A, GRESHAM, OR 970302075 (Tel: 5036659737)

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Organization / Clinic Name Updated June 09, 2015

Operating as HARRY D CHAMBERS DDS PC

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 09, 2015

Clinic/Center (License #5583 in OR)

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Initial NPI Registration & Enumeration June 09, 2015

First registered as active Healthcare Organization in NPPES Database.

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NPI Organization Metadata

NPI Number: 1619358256
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: June 09, 2015
Last Update: June 09, 2015

Mailing Address

21825 Se Stark St, Suite A

Gresham, OR 970302075

Phone: 5036659737

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.