Basic Information
Provider Information
NPI: 1801209044
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PIERATOS
FirstName: NATALIA
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: D.M.D
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 6950 NE CAMPUS WAY
Address2:  
City: HILLSBORO
State: OR
PostalCode: 971245611
CountryCode: US
TelephoneNumber: 8554336825
FaxNumber:  
Practice Location
Address1: 7084 LAKELAND HILLS WAY SE STE 104
Address2:  
City: AUBURN
State: WA
PostalCode: 980928439
CountryCode: US
TelephoneNumber: 2533295083
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/05/2014
LastUpdateDate: 12/19/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 12/19/2019

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
122300000X058080NYN Dental ProvidersDentist 
122300000XDE60830347WAY Dental ProvidersDentist 

No ID Information.


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