Provider Demographics
NPI:1023334331
Name:PEIRANO FRANKLIN, PATRICIA ALEJANDRA (DDS)
Entity type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:ALEJANDRA
Last Name:PEIRANO FRANKLIN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4727 SW ILLINOIS ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97221-2851
Mailing Address - Country:US
Mailing Address - Phone:503-703-0220
Mailing Address - Fax:
Practice Address - Street 1:2323 NW WESTOVER RD
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97210-3524
Practice Address - Country:US
Practice Address - Phone:503-893-2889
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-12
Last Update Date:2014-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORD9800122300000X
WADE60264832122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist