Provider Demographics
NPI:1992188189
Name:N2 ORAL HEALTH
Entity Type:Organization
Organization Name:N2 ORAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTAL HYGIENIST
Authorized Official - Prefix:
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:MANNILA
Authorized Official - Suffix:
Authorized Official - Credentials:RDH
Authorized Official - Phone:971-373-2669
Mailing Address - Street 1:1457 4TH ST
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:OR
Mailing Address - Zip Code:97103-5307
Mailing Address - Country:US
Mailing Address - Phone:971-373-2669
Mailing Address - Fax:
Practice Address - Street 1:1457 4TH ST
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:OR
Practice Address - Zip Code:97103-5307
Practice Address - Country:US
Practice Address - Phone:971-373-2669
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-07
Last Update Date:2015-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORH2913310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility