Provider Demographics
NPI:1215221361
Name:NORMUND K. AUZINS, DDS
Entity Type:Organization
Organization Name:NORMUND K. AUZINS, DDS
Other - Org Name:COLUMBIA ORAL SURGERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NORMUND
Authorized Official - Middle Name:K
Authorized Official - Last Name:AUZINS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:503-289-9621
Mailing Address - Street 1:2824 NE WASCO ST STE 230
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97232-1772
Mailing Address - Country:US
Mailing Address - Phone:503-289-9621
Mailing Address - Fax:503-289-2930
Practice Address - Street 1:2824 NE WASCO ST STE 230
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97232-1772
Practice Address - Country:US
Practice Address - Phone:503-289-9621
Practice Address - Fax:503-289-2930
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-07
Last Update Date:2011-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORD89961223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty