Provider Demographics
NPI:1447250766
Name:CONTRERAS, OSCAR LUIS (DMD)
Entity type:Individual
Prefix:
First Name:OSCAR
Middle Name:LUIS
Last Name:CONTRERAS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36840 INDUSTRIAL WAY
Mailing Address - Street 2:
Mailing Address - City:SANDY
Mailing Address - State:OR
Mailing Address - Zip Code:97055-9254
Mailing Address - Country:US
Mailing Address - Phone:503-668-8301
Mailing Address - Fax:
Practice Address - Street 1:36840 INDUSTRIAL WAY
Practice Address - Street 2:
Practice Address - City:SANDY
Practice Address - State:OR
Practice Address - Zip Code:97055-9254
Practice Address - Country:US
Practice Address - Phone:503-668-8301
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORD61611223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice