CELESTE SERVO (NPI# 1033491907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033491907 |
| Entity Type | Individual |
| Full Name | CELESTE SERVO |
| Practice Address |
1900 Mcloughlin Blvd Ste 68 Oregon City OR 97045-1072 |
| Practice Telephone | 5093878000 |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2011-11-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
OR | Ambulatory Health Care Facilities |
| Street Address |
1900 MCLOUGHLIN BLVD STE 68 |
| City | OREGON CITY |
| State | OR |
| Zip Code | 97045-1072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255666764 | Rachel White | Dentist | 1900 Mcloughlin Blvd Ste 68, Oregon City, OR 97045-1072 | 2009-10-16 |
| 1083248074 | Nichole Jantette Wellman | Dental Assistant | 1900 Mcloughlin Blvd Ste 68, Oregon City, OR 97045-1072 | 2020-02-27 |
| 1922645340 | Erin Littlepage | Dental Assistant | 1900 Mcloughlin Blvd Ste 68, Oregon City, OR 97045-1072 | 2019-12-04 |
| 1740830124 | Kayla Tamar Stevens | Dental Assistant | 1900 Mcloughlin Blvd Ste 68, Oregon City, OR 97045-1072 | 2019-09-17 |
| 1346701885 | Summer R Ridley | Dental Assistant | 1900 Mcloughlin Blvd Ste 68, Oregon City, OR 97045-1072 | 2019-03-27 |
| 1477078079 | Kimberly M Boyce | Dental Assistant | 1900 Mcloughlin Blvd Ste 68, Oregon City, OR 97045-1072 | 2017-08-04 |
| 1619229705 | Rebecca E Grandi-smith | Dental Assistant | 1900 Mcloughlin Blvd Ste 68, Oregon City, OR 97045-1072 | 2012-10-12 |
| 1548542368 | Christina Elizabeth Foster | Clinic/Center | 1900 Mcloughlin Blvd Ste 68, Oregon City, OR 97045-1072 | 2011-09-16 |
| 1093097958 | Kaiser Permanente | Clinic/Center | 1900 Mcloughlin Blvd Ste 68, Oregon City, OR 97045-1072 | 2011-09-15 |
| 1841572716 | Kimberly Misako Taylor | Dental Assistant | 1900 Mcloughlin Blvd Ste 68, Oregon City, OR 97045-1072 | 2011-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528625621 | Dylan Wile | Physical Therapist | 19721 Or 213, Oregon City, OR 97045 | 2019-05-23 |
| 1952871576 | April Saylor | Dental Hygienist | 15530 S. Morel Dr, Oregon City, OR 97045 | 2018-11-27 |
| 1598251688 | Sara Noelle Wetten | Dental Assistant | 1900 Mclouglin Blvd #68, Oregon City, OR 97045 | 2018-07-02 |
| 1649761941 | Carol Ann Cranfill | Specialist | 1001 Molalla Ave. Ste 206, Oregon City, OR 97045 | 2018-05-22 |
| 1790286029 | Kathleen Walker | Registered Nurse | 110 Beaverceek Rd., Oregon City, OR 97045 | 2018-02-22 |
| 1174032429 | Amanda Brannin | Dental Hygienist | 15018 Pebble Beach Dr, Oregon City, OR 97045 | 2017-09-28 |
| 1003332669 | Clackamas Medical Supplies | Durable Medical Equipment & Medical Supplies | 2050 Beavercreek Rd. Ste 101-385, Oregon, OR 97045 | 2017-08-16 |
| 1154870129 | Staci S Meador | Nurse Practitioner | 1508 Division St Ste 200, Oregon City, OR 97045 | 2016-10-01 |
| 1821541939 | Samuel R. Sabo | General Practice | 18171 Waldow Rd., Oregon City, OR 97045 | 2016-07-26 |
| 1619339967 | Carly Chambers | Physical Therapist | 1630 S Beavercreeak Rd, Suite A, Oregon City, OR 97045 | 2016-03-25 |
| Find all providers in zip 97045 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114564697 | Dr Jacob Goertz Dmd LLC | Clinic/Center | 617 High St Ste 201, Oregon City, OR 97045-2228 | 2019-12-04 |
| 1124521166 | Ji Family Dental LLC | Clinic/Center | 19731 S Highway 213, Oregon City, OR 97045-4190 | 2018-03-15 |
| 1548542368 | Christina Elizabeth Foster | Clinic/Center | 1900 Mcloughlin Blvd Ste 68, Oregon City, OR 97045-1072 | 2011-09-16 |
| 1093097958 | Kaiser Permanente | Clinic/Center | 1900 Mcloughlin Blvd Ste 68, Oregon City, OR 97045-1072 | 2011-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144834375 | Geoffrey R Clive Dds LLC | Clinic/Center | 11082 Se Oak St, Milwaukie, OR 97222-6692 | 2020-09-04 |
| 1508416041 | Columbia River Dentistry-gresham, LLC | Clinic/Center | 1700 Nw Civic Dr Ste 320, Gresham, OR 97030-3774 | 2019-09-17 |
| 1063065068 | Portland Dental Smiles | Clinic/Center | 732 Sw 3rd Ave Ste 202, Portland, OR 97204-2409 | 2019-07-18 |
| 1104478619 | David A Allen Dds | Clinic/Center | 1059 Royal Ave, Medford, OR 97504-6127 | 2019-07-15 |
| 1750933917 | Multnomah County | Clinic/Center | 11540 Ne Inverness Dr., Inverness Jail, Portland, OR 97220 | 2019-07-09 |
| 1164080875 | Central Point Dental LLC | Clinic/Center | 12338 Se 143rd Pl, Happy Valley, OR 97086-6545 | 2019-05-29 |
| 1285193003 | Hazelnut Dental LLC | Clinic/Center | 10773 Sw Beaverton-hillsdale Hwy, Ste B, Beaverton, OR 97005 | 2019-03-19 |
| 1558839498 | Kevin Prates Dds, PC | Clinic/Center | 1002 10th St Ste 1, Hood River, OR 97031-1564 | 2018-11-08 |
| 1063993749 | Roots Dental Stark LLC | Clinic/Center | 16338 Se Stark St, Portland, OR 97233-3958 | 2018-08-22 |
| 1528546330 | Christopher Brady Dmd LLC | Clinic/Center | 4707 Ne 102nd Ave Ste A, Portland, OR 97220-3393 | 2018-08-02 |
| Find all providers with the same taxonomy | ||||
| City | OREGON CITY |
| Zip Code | 97045 |
Please comment or provide details below to improve the information on CELESTE SERVO.
| 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.