Khanh Mai Ngoc Pham, DMD
Dentist, General Practice in Oregon City, OR. Individual provider (NPI-1).
NPI number1649947367
StatusActive
Last updated in NPPESMay 9, 2022
Details
- NPI
- 1649947367
- Entity type
- Individual (NPI-1)
- Name
- Khanh Mai Ngoc Pham
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 30, 2021
- Certification date
- May 9, 2022
- Last updated
- May 9, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | D11524 | OR | Yes |
Practice location
19129 Beavercreek RdOregon City, OR 97045-9539
Phone 503-305-5051
Mailing address
19129 Beavercreek RdOregon City, OR 97045-9539
Is something wrong?
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