STEPHEN GORDON WOODYARD


Address: 1585 Sw Marlow Ave, Portland, OR 97225-5176
Phone: 5032971444

STEPHEN GORDON WOODYARD (NPI# 1013106681) 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) 1013106681
Entity Type Individual
Full Name STEPHEN GORDON WOODYARD
Credential D.M.D.,M.S.
Practice Address 1585 Sw Marlow Ave
Portland
OR 97225-5176
Practice Telephone 5032971444
Mailing Telephone 5032971444
Enumeration Date 2007-10-19
Last Update Date 2007-10-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0300X Dentist
Specialization: Periodontics
D4180 OR Dental Providers

Office Location

Street Address 1585 SW MARLOW AVE
City PORTLAND
State OR
Zip Code 97225-5176

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104826817 Scott L. Strong Dentist 1585 Sw Marlow Ave, Suite 216, Portland, OR 97225-5176 2005-07-22
1750746004 Nancy Borman, D.o., PC Clinic/Center 1585 Sw Marlow Ave, Site 200, Portland, OR 97225-5176 2015-12-30
1619345683 Northwest Neuro-ophthalmology LLC Psychiatry & Neurology 1585 Sw Marlow Ave, Ste 110, Portland, OR 97225-5176 2015-09-09
1922487511 Global Integrative Medical Solutions Clinic/Center 1585 Sw Marlow Ave, 200, Portland, OR 97225-5176 2015-05-28
1114319134 Northwest Physical Therapy Care, LLC Physical Therapist 1585 Sw Marlow Ave, Portland, OR 97225-5176 2015-02-27
1245542752 Natalia I Makarova Dentist 1585 Sw Marlow Ave, Ste 120, Portland, OR 97225-5176 2010-07-13
1699977785 Oregon Pulmonary Associates, P.C. Internal Medicine 1585 Sw Marlow Ave, Suite 101, Portland, OR 97225-5176 2007-06-01
1760502546 Vonny Ngantung Dentist 1585 Sw Marlow Ave, Suite 120, Portland, OR 97225-5176 2007-03-29
1962522532 Wendell King Dentist 1585 Sw Marlow Ave, Suite 120, Portland, OR 97225-5176 2007-03-29
1215092986 Dianna Lynn Henson Naturopath 1585 Sw Marlow Ave, Suite 200, Portland, OR 97225-5176 2006-12-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508425034 Gabrielle Gonzales Behavior Technician 1675 Sw Marlow Ave, Suite 200, Portland, OR 97225 2019-06-08
1558844555 Tate Roseberry Behavior Technician 1675 Sw Marlow Avenue, Suite 200, Portland, OR 97225 2018-09-14
1982186300 Dean Alan Hopkins Registered Nurse 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225 2018-09-01
1316449168 Surgery Center At St. Vincent, LLC Clinic/Center 9135 Sw Barnes Rd Ste 161, Portland, OR 97225 2018-03-07
1730606716 Meghan Louise Lacy Pediatrics 11790 Sw Barnes Rd, Blg. A, Suite 140, Portland, OR 97225 2017-08-29
1841733433 Tia Pugh Occupational Therapist 9155 S.w. Barnes Road, East Pavilion, Portland, OR 97225 2016-11-30
1295185585 Stephanie Lynn Hart Nurse Practitioner 9155 Sw Barnes Rd Ste 240, Portland, OR 97225 2016-06-16
1962866244 Bejian Shamloo Chiropractor 10200 Sw Eastridge St., Suite 235, Portland, OR 97225 2016-04-12
1992162630 Robert Joseph Yoder Psychologist 9045 Barnes Rd, Portland, OR 97225 2016-01-26
1316303951 Katie Herold Chiropractor 9315 Sw Morrison St, Portland, OR 97225 2016-01-12
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Taxonomy Information

Taxonomy Code 1223P0300X
Grouping Dental Providers
Classification Dentist
Specialization Periodontics

Taxonomy Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871026062 Leila Soltani Dentist 430 Sw 13th Ave Apt 2010, Portland, OR 97205 2017-04-05
1730632266 Samar Shaikh Dentist 716 Stevens Ave # 204, Portland, ME 04103 2016-08-02
1730472986 Wilson D Lee Dentist 315 Nw Lost Springs Ter, #401, Portland, OR 97229-6444 2011-05-20
1184954422 Kamran Haghighat Bds Ms PC Dentist 833 Sw 11th Ave Ste 1020, Portland, OR 97205-2124 2010-01-08
1225292121 Harjit Singh Sehgal Dentist 2730 Sw Moodey Ave, Clsb-5n034, Portland, OR 97201 2008-07-10
1467516211 Chirgwin & Herriges, LLC Dentist 1130 Se 122nd Ave, Portland, OR 97233-1112 2006-12-19
1568534519 Trang N Pham Dentist 10356 Ne Wasco St, Portland, OR 97220 2006-11-14
1811086887 Winthrop B. Carter Dentist 611 Sw Campus Drive, Ohsu School of Dentistry, Sd 177, Portland, OR 97239 2006-10-11
1295828069 Southern Maine Periodontal Assoc Pa Dentist 276 Canco Rd, Portland, ME 04103 2006-10-02
1598702151 Angela Blizzard Dentist 7107 Sw Macadam Ave, Portland, OR 97219-3075 2006-06-01
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Competitor

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City PORTLAND
Zip Code 97225

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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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