Provider Demographics
NPI:1215380688
Name:AADLAND, MCKAY & OSTENSON, PLLC
Entity type:Organization
Organization Name:AADLAND, MCKAY & OSTENSON, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KIM
Authorized Official - Middle Name:A
Authorized Official - Last Name:SHEPHERD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-573-6047
Mailing Address - Street 1:2702 NE 78TH ST
Mailing Address - Street 2:SUITE 104
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98665-0665
Mailing Address - Country:US
Mailing Address - Phone:360-573-6047
Mailing Address - Fax:360-547-6540
Practice Address - Street 1:2702 NE 78TH ST
Practice Address - Street 2:SUITE 104
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98665-0665
Practice Address - Country:US
Practice Address - Phone:360-573-6047
Practice Address - Fax:360-547-6540
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-20
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE000106211223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty