Dr. Roy Creager Lusch is a Portland, Oregon based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Roy Creager Lusch is 6360 for General Practice Dentistry in Oregon. His current practice location is 948 Ne 102nd Ave, Suite 105, Portland. Patients can reach him at 503-253-1109.
Dr. Roy Creager Lusch is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Roy Creager Lusch speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Roy Creager Lusch
Specialization:
Dentist
Gender:
Male
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
948 Ne 102nd Ave, Suite 105, Portland, Oregon, 97220-4064
Phone:
503-253-1109
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1467519868
NPI Enumeration Date:
03 Jan, 2007
NPI Last Update On:
19 Dec, 2012
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Roy Creager Lusch are as mentioned below.
License Number
Specialization
State
Status
6360
General Practice Dentistry
Oregon
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Roy Creager Lusch such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
930943902
Other
Oregon
TAX ID
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1405 Se 115th Ave, Portland, Oregon
Zip:
97216-3965
Phone Number:
503-863-4048
Patients can reach Dr. Roy Creager Lusch at 948 Ne 102nd Ave, Suite 105, Portland, Oregon or can call to book an appointment on 503-253-1109. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.