Provider Demographics
NPI:1023140159
Name:VALERIE A. FOSTER, D.M.D., P.C.
Entity type:Organization
Organization Name:VALERIE A. FOSTER, D.M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:FOSTER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD, PC
Authorized Official - Phone:503-649-7011
Mailing Address - Street 1:19560 SW ALEXANDER ST
Mailing Address - Street 2:
Mailing Address - City:ALOHA
Mailing Address - State:OR
Mailing Address - Zip Code:97006-2315
Mailing Address - Country:US
Mailing Address - Phone:503-649-7011
Mailing Address - Fax:503-642-9897
Practice Address - Street 1:19560 SW ALEXANDER ST
Practice Address - Street 2:
Practice Address - City:ALOHA
Practice Address - State:OR
Practice Address - Zip Code:97006-2315
Practice Address - Country:US
Practice Address - Phone:503-649-7011
Practice Address - Fax:503-642-9897
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORD6269261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental