Provider Demographics
NPI:1811004971
Name:NEGRU, MICHAEL PAVEL (DDS)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:PAVEL
Last Name:NEGRU
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:MIHAI
Other - Middle Name:
Other - Last Name:NEGRU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3370 SW 192ND AVE
Mailing Address - Street 2:
Mailing Address - City:ALOHA
Mailing Address - State:OR
Mailing Address - Zip Code:97006
Mailing Address - Country:US
Mailing Address - Phone:503-848-3606
Mailing Address - Fax:503-214-8527
Practice Address - Street 1:3370 SW 192ND AVE
Practice Address - Street 2:
Practice Address - City:ALOHA
Practice Address - State:OR
Practice Address - Zip Code:97006
Practice Address - Country:US
Practice Address - Phone:503-848-3606
Practice Address - Fax:503-214-8527
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORD72071223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice