John Lindsay Tullis Jr., D.M.D.

General Practice Dentistry · Lake Oswego, OR

Individual Active NPI

NPI number 1871755587

Practice location

16463 Boones Ferry Rd Ste 200
The Olson Memorial Clinic
Lake Oswego, OR 97035-4375
Phone
(503) 635-7701

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NPI record

NPI
1871755587
Entity type
Individual (Type 1)
Enumeration date
June 25, 2008
Last updated
June 25, 2008
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X OR5420 OR

About Dr. Tullis

John Lindsay Tullis Jr., D.M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 16463 Boones Ferry Rd Ste 200, The Olson Memorial Clinic, Lake Oswego, OR 97035-4375. The NPI number 1871755587 was assigned on June 25, 2008 and the record was last updated on June 25, 2008.

Dr. Tullis lists a license in the registry: #OR5420 (OR) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of John Lindsay Tullis Jr., D.M.D.?

The NPI number is 1871755587.

What is the phone number of Dr. Tullis?

The phone number listed for the practice location is (503) 635-7701.

Where is Dr. Tullis located?

16463 Boones Ferry Rd Ste 200, The Olson Memorial Clinic, Lake Oswego, OR 97035-4375.

What is the taxonomy code for Dr. Tullis?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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