Provider Demographics
NPI:1013192632
Name:MORRIS SARRIUGARTE DMD, PC
Entity Type:Organization
Organization Name:MORRIS SARRIUGARTE DMD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MORRIS
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:SARRIUGARTE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:503-658-5501
Mailing Address - Street 1:20360 SE HIGHWAY 212
Mailing Address - Street 2:
Mailing Address - City:DAMASCUS
Mailing Address - State:OR
Mailing Address - Zip Code:97089-7722
Mailing Address - Country:US
Mailing Address - Phone:503-658-5501
Mailing Address - Fax:503-658-2253
Practice Address - Street 1:20360 SE HIGHWAY 212
Practice Address - Street 2:
Practice Address - City:DAMASCUS
Practice Address - State:OR
Practice Address - Zip Code:97089-7722
Practice Address - Country:US
Practice Address - Phone:503-658-5501
Practice Address - Fax:503-658-2253
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-02
Last Update Date:2008-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORD55341223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty