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Jan Kooning, DMD PC — NPI 1770599144, Portland, OR | NPI Central

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NPI 1770599144

IndividualActive

Jan Kooning, DMD PC

NPI 1770599144 · Oral and Maxillofacial Surgery (Dentist) · Portland, OR

Provider details

NPI number: 1770599144
Entity type: Individual
Primary specialty: Oral and Maxillofacial Surgery (Dentist)Dental Providers
Credential: DMD PC
Sex: Male
Sole proprietor: No
License: D6081 (OR)

Practice location

3549 N Lombard

Portland, OR 97217-5901

Phone: (503) 289-9621

Fax: (503) 289-2930

More OR providers

Mailing address

3549 N Lombard

Portland, OR 97217-5901

Registry dates

Enumerated: 2006-07-31
Last updated: 2007-07-08

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.