Provider Demographics
NPI:1164656328
Name:CENSONI, PAULA HELEN (DMD)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:HELEN
Last Name:CENSONI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:MRS
Other - First Name:PAULA
Other - Middle Name:HELEN
Other - Last Name:STUROS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RDH
Mailing Address - Street 1:4104 SE 82ND
Mailing Address - Street 2:SUITE 450
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97266
Mailing Address - Country:US
Mailing Address - Phone:503-771-4324
Mailing Address - Fax:
Practice Address - Street 1:4104 SE 82ND
Practice Address - Street 2:SUITE 450
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97266
Practice Address - Country:US
Practice Address - Phone:503-771-4324
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-04
Last Update Date:2009-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORD9226122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist