Provider Demographics
NPI:1346413366
Name:LORIO, MICHAEL (DMD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:
Last Name:LORIO
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 1:8263 SW WILSONVILLE RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:WILSONVILLE
Mailing Address - State:OR
Mailing Address - Zip Code:97070-8723
Mailing Address - Country:US
Mailing Address - Phone:503-682-9191
Mailing Address - Fax:503-682-9459
Practice Address - Street 1:8263 SW WILSONVILLE RD
Practice Address - Street 2:SUITE C
Practice Address - City:WILSONVILLE
Practice Address - State:OR
Practice Address - Zip Code:97070-8723
Practice Address - Country:US
Practice Address - Phone:503-682-9191
Practice Address - Fax:503-682-9459
Is Sole Proprietor?:No
Enumeration Date:2008-04-10
Last Update Date:2008-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORD71791223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice