Provider Demographics
NPI:1508837071
Name:RAPSON, JAMES (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:
Last Name:RAPSON
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3600 N INTERSTATE AVE
Mailing Address - Street 2:KAISER PERMANTE TMD CLIN, CENTRAL INTERSTATE MED OFFICE
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97227-1106
Mailing Address - Country:US
Mailing Address - Phone:503-939-7420
Mailing Address - Fax:503-331-5118
Practice Address - Street 1:3600 N INTERSTATE AVE
Practice Address - Street 2:TMD CLINIC CENTRAL INTERSTATE MEDICAL OFFICE
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97227-1106
Practice Address - Country:US
Practice Address - Phone:503-939-7420
Practice Address - Fax:503-331-5118
Is Sole Proprietor?:No
Enumeration Date:2006-01-31
Last Update Date:2020-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORD9678122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist