IndividualActive
James Katancik, DDS, PHD
NPI 1891818340 · Periodontics · Portland, OR
Provider details
- NPI number
- 1891818340
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- DDS, PHD
- Sex
- Male
- Sole proprietor
- No
- License
- DF0025 (OR)
Specialties & taxonomies
Dental Providers
Practice location
2730 Sw Moody Ave
Sdperi
Portland, OR 97201-5042
Phone: (503) 494-4891
Approximate (ZIP-level) locationGet directions
Mailing address
2730 Sw Moody Ave
Portland, OR 97201-5042
Registry dates
- Enumerated
- 2007-04-09
- Last updated
- 2015-06-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.