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CARLY K CHRISTOFERSON DMD PC
NPI 1548917321
Clinic/Center - Dental in Lake Oswego, OR

Active since March 02, 2022
3900 DOUGLAS WAY, LAKE OSWEGO, OR 97035(503) 636-8446(503) 636-4446 Get Directions Write a Review

NPPES record last updated: March 2, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Carly K Christoferson Dmd Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARLY K CHRISTOFERSON DMD PC (NPI 1548917321) is a healthcare organization registered as a dental in Lake Oswego, Oregon and active in the NPI registry since March 2022. The organization lists Carly Christoferson Petersen, President, as its authorized official.

NPPES Registry Identity

NPI1548917321
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameCARLY K CHRISTOFERSON DMD PC
Location Address3900 DOUGLAS WAYLake Oswego, OR 97035-3446
Mailing Address3900 Douglas WayLake Oswego, OR 97035-3446 · (503) 636-8446 · Fax (503) 636-4446
Phone(503) 636-8446
Fax(503) 636-4446
Organization SubpartNo
Authorized OfficialCarly Christoferson PetersenPresident · (503) 758-8174
Enumeration DateMarch 2, 2022
NPPES CertifiedFebruary 24, 2022
✔ NPI 1548917321 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
3900 DOUGLAS WAY, Lake Oswego, OR 97035
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WIKLE DENTISTRY LLC
Dentist (General Practice)
3900 DOUGLAS WAY
LAKE OSWEGO, OR 97035
Clackamas County (503) 636-8446
DR. TIMOTHY JOHN EDVALSON D.M.D.
Dentist (General Practice)
3900 DOUGLAS WAY
LAKE OSWEGO, OR 97035
Clackamas County (503) 636-8446
MR. CODY MERRIL BYWATERS LICENSED DENTURIST
Denturist
3900 DOUGLAS WAY
LAKE OSWEGO, OR 97035
Clackamas County (503) 635-8060
MS. ALINA CHOBU LMT
Massage Therapist
3900 DOUGLAS WAY
LAKE OSWEGO, OR 97035
Clackamas County (503) 935-0965
DR. CARLY CHRISTOFERSON PETERSEN DMD
Dentist (General Practice)
3900 DOUGLAS WAY
LAKE OSWEGO, OR 97035
Clackamas County (503) 636-8446

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carly K Christoferson Dmd PC's NPI number?

The NPI number for Carly K Christoferson Dmd PC is 1548917321. It was assigned to this organization in the NPPES registry on March 2, 2022.

Where is Carly K Christoferson Dmd PC located?

Carly K Christoferson Dmd PC is located at 3900 Douglas Way, Lake Oswego, OR 97035. The listed phone number is (503) 636-8446.

What is Carly K Christoferson Dmd PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Carly K Christoferson Dmd PC was last updated on March 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.