Jason Atack, DMD in Beaverton, OR - Dentist

Jason Atack, DMD is a Dentist based in Beaverton, Oregon. Jason Atack is licensed to practice in Oregon (license number D9201) and his current practice location is 14125 Sw Farmington Rd, Beaverton, Oregon. He can be reached at his office (for appointments etc.) via phone at (503) 646-4432.

NPI number for Jason Atack is 1235382557 and his current mailing address is 14125 Sw Farmington Rd, Beaverton, Oregon. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1235382557.

Contact Information

	Jason Atack, DMD
	14125 Sw Farmington Rd, Beaverton, OR 97005-2567
	(503) 646-4432
	(971) 223-1710

Healthcare Provider's Profile

Full Name	Jason Atack
Gender	Male
Speciality	Dentist
Location	14125 Sw Farmington Rd, Beaverton, Oregon
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1235382557
Provider Enumeration Date: 10/30/2008
Last Update Date: 01/31/2018

Medical Identifiers

Medical identifiers for Jason Atack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235382557	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	9201 (Oregon)	Secondary
122300000X	Dentist	D9201 (Oregon)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jason Atack is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jason Atack, DMD 14125 Sw Farmington Rd, Beaverton, OR 97005-2567 Ph: (503) 646-4432	Jason Atack, DMD 14125 Sw Farmington Rd, Beaverton, OR 97005-2567 Ph: (503) 646-4432

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Dentist in Beaverton, OR

Mark O Shoger, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 14780 Sw Osprey Dr, Suite 345, Beaverton, OR 97007 Phone: 503-579-2495
Dr. Catherine Bom Kim, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 4925 Sw Griffith Dr, Beaverton, OR 97005 Phone: 855-433-6825
Dr. Jonathan Juyun Kim, DDS Dentist Medicare: Medicare Enrolled Practice Location: 4925 Sw Griffith Dr, Beaverton, OR 97005 Phone: 855-433-6825
Dr. Mark Daniel Alder, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 5050 Sw Griffith Dr, Beaverton, OR 97005 Phone: 503-641-9010 Fax: 503-641-7660
Dr. Susan Jane Antony, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 17675 Sw Tualatin Valley Hwy, Beaverton, OR 97006 Phone: 503-259-3160 Fax: 503-259-3169
Megan L Nevills Moseley, DMD Dentist Medicare: Medicare Enrolled Practice Location: 14500 Sw Murray Scholls Dr Ste 101, Beaverton, OR 97007 Phone: 503-521-1333 Fax: 503-524-9777
Ashley Puleo Schaaf, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 14795 Sw Murray Scholls Dr, Suite 116, Beaverton, OR 97007 Phone: 503-579-0304 Fax: 503-579-7866

Jason Atack, DMD - Dentist in Beaverton, OR