Provider Demographics
NPI:1831398155
Name:LAMPEE, HEATH ALEXANDER (DMD)
Entity type:Individual
Prefix:DR
First Name:HEATH
Middle Name:ALEXANDER
Last Name:LAMPEE
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 1:3050 SW 10TH AVE APT 37
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97239-3087
Mailing Address - Country:US
Mailing Address - Phone:503-910-7856
Mailing Address - Fax:
Practice Address - Street 1:14455 SW ALLEN BLVD STE 103
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97005-4428
Practice Address - Country:US
Practice Address - Phone:503-646-2273
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-17
Last Update Date:2007-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORD8943122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist