MRS. LAINE CORINNE EWRY


Address: 215 Se 102nd Ave, Suite #200, Portland, OR 97216-2700
Phone: 5032534700

MRS. LAINE CORINNE EWRY (NPI# 1003854506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003854506
Entity Type Individual
Full Name MRS. LAINE CORINNE EWRY
Credential RDH
Practice Address 215 Se 102nd Ave
Suite #200
Portland
OR 97216-2700
Mailing Address 6712 Se 114th Ave
Portland
OR 97266-4966
Practice Telephone 5032534700
Practice Fax Number 5032536597
Mailing Telephone 5037605463
Enumeration Date 2006-06-04
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 124Q00000X Dental Hygienist H4365 OR Dental Providers

Office Location

Street Address 215 SE 102ND AVE
SUITE #200
City PORTLAND
State OR
Zip Code 97216-2700

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902988066 Christine Angela Ressler Dentist 215 Se 102nd Ave, Suite 300, Portland, OR 97216 2006-10-19
1538185624 Stephen Kent Pauly Dentist 215 Se 102nd Ave, Ste 200, Portland, OR 97216 2006-07-14

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1881136836 Krista Marie Darnell Occupational Therapy Assistant 1475, Se 100th Avenue, Portland, OR 97216 2016-11-08
1821456559 Sean Kelly Counselor 10564 Se Washington Street, Portland, OR 97216 2016-02-09
1174908321 Phil Bergland Counselor 11220 Se Stark St, Suite 6, Portland, OR 97216 2015-07-29
1134507346 Beth Lopez Massage Therapist 5814 Se Stark Street, Portland, OR 97216 2015-05-08
1982081477 Amelia C Hunt Counselor 10564 Se Washinton Street, Portland, OR 97216 2015-05-04
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Taxonomy Information

Taxonomy Code 124Q00000X
Grouping Dental Providers
Classification Dental Hygienist

Taxonomy Definition

An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053939025 Raghda A. Salman Dental Hygienist 1036 Brighton Ave # Unitea, Portland, ME 04102-1059 2020-07-07
1447877899 Kelly Smith Dental Hygienist 7700 Sw Garden Home Rd Apt 24, Portland, OR 97223-7496 2020-07-01
1598399396 Barbara Angela Worthey Dental Hygienist 1050 Sw 6th Ave, Portland, OR 97204-1156 2020-03-02
1710545710 Diane Phan Dental Hygienist 9151 Se Woodstock Blvd, Portland, OR 97266-5369 2019-06-04
1598264228 Elizabeth Gordon Dental Hygienist 601 Sw Second Ave., Portland, OR 97204-3156 2018-02-08
1649787300 Allison Renee Gerdes Dental Hygienist 3514 Ne Broadway St, Portland, OR 97232-1821 2018-01-03
1992217566 Megan Van Noy Dental Hygienist 8332 Sw 21st Ave Apt 12, Portland, OR 97219-2853 2017-11-03
1861918005 Kaiser Permanente Dental Care Program Dental Hygienist 2930 Ne Dekum St, Portland, OR 97211-6613 2017-08-18
1033634100 Oma Casandra Hampton Dental Hygienist 7018 Ne 10th Ave, Portland, OR 97211-4081 2017-08-09
1932636214 Hannah Elizabeth Lachance Dental Hygienist 131 Johnson Rd, Portland, ME 04102-1988 2017-05-17
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Competitor

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City PORTLAND
Zip Code 97216

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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