Search › Oregon › 101YP2500X
Janice Premo
NPI 1518146802 · on the registry since 2007 · sole proprietor
Practice
- Address
- 6400 Se Lake Rd Ste 102
Portland, OR 97222 - Phone
- (503) 810-8111
- Organisation at this address
- Northwest Iv, Llc
Deep Insight Pllc
Terry L Isom Dmd,Pc
Deep Insight Group PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 61
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 101YP2500X
101YA0400X - Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-11-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon