SAM EL-EBRASHI, BDS, MS, PC (NPI# 1083963243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083963243 |
| Entity Type | Organization |
| Organization Name | SAM EL-EBRASHI, BDS, MS, PC |
| Practice Address |
2075 Sw First Ave Ste. 2m Portland OR 97201-5314 |
| Practice Telephone | 5032266659 |
| Practice Fax Number | 5032269523 |
| Mailing Telephone | 5032266659 |
| Mailing Fax Number | 5032269523 |
| Enumeration Date | 2012-09-04 |
| Last Update Date | 2012-09-04 |
| Authorized Official Name | DR. SAMEH K EL-EBRASHI (OWNER) |
| Authorized Official Telephone | 5032266659 |
| Authorized Official Credential | BDS, MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
D4764 | OR | Dental Providers |
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
D8650 | OR | Dental Providers |
| Street Address |
2075 SW FIRST AVE STE. 2M |
| City | PORTLAND |
| State | OR |
| Zip Code | 97201-5314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154315869 | Timothy S. Chapman | Dentist | 2075 Sw First Ave, Portland, OR 97201-5314 | 2005-09-08 |
| 1255687802 | Joseph Max Pelz | Dentist | 2075 Sw First Ave, Ste. 2m, Portland, OR 97201-5314 | 2012-08-01 |
| 1457503955 | Junlan Cai | Acupuncturist | 2075 Sw First Ave, Suite 2d, Portland, OR 97201-5314 | 2008-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780206060 | Laura Elizabeth Jackson | Student in an Organized Health Care Education/Training Program | 2730 S Moody Ave, Portland, OR 97201 | 2020-05-10 |
| 1225659063 | Amanpreet Kaur | Student in an Organized Health Care Education/Training Program | Ohsu Physician Assistant Program, 2730 South Moody Ave. Mail Code: Cl5pa, Portland, OR 97201 | 2020-05-04 |
| 1063033801 | Aaron Kinn | Student in an Organized Health Care Education/Training Program | Ohsu Division of Physician Assistant Education - Cl5pa, 2730 Sw Moody Avenue, Portland, OR 97201 | 2020-05-04 |
| 1487275442 | Erin Aleen Ostlie-madden | Student in an Organized Health Care Education/Training Program | 2730 South Moody Ave, Portland, OR 97201 | 2020-04-30 |
| 1104446681 | Skycloud Psychiatry LLC | Nurse Practitioner | 106 South West Woods St, Portland, OR 97201 | 2020-04-24 |
| 1740825587 | Dalia Bayaa | Pharmacist | 325 Sw Harrison Street, Portland, OR 97201 | 2019-11-15 |
| 1780172619 | Susan Elizabeth Christian Barrios | Social Worker | 1505 Sw College St, Portland, OR 97201 | 2018-04-26 |
| 1730696576 | Fiona Everett | Counselor | 1703 Sw Clay St, Portland, OR 97201 | 2018-01-02 |
| 1437678844 | Akira Thomas Neilsen | Student in an Organized Health Care Education/Training Program | 1930 Sw River Drive, Unit 102, Portland, OR 97201 | 2017-09-18 |
| 1285171736 | Howard Mitchell | Technician, Other | 1110 Sw Clay Street Apt. 34, Portland, OR 97201 | 2017-01-23 |
| Find all providers in zip 97201 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639684301 | Halmos & Manning LLC | Dentist | 11790 Sw Barnes Rd Ste 260, Portland, OR 97225-5935 | 2017-12-04 |
| 1144741570 | Wyatt John Traina | Dentist | 131 Johnson Rd Ste 4, Portland, ME 04102-1988 | 2017-07-06 |
| 1730540949 | Nader Rassouli PC | Dentist | 5440 Sw Westgate Dr Ste 360, Portland, OR 97221-2446 | 2016-03-15 |
| 1376942466 | Allen Portland Dentistry Associates Pllc | Dentist | 101 Cox Dr., Portland, TX 78374 | 2014-08-14 |
| 1669603338 | Allison Carol Broyles | Dentist | 611 Sw Campus Dr # 19, Portland, OR 97239-3001 | 2009-07-29 |
| 1619180007 | Pacific Dental Institute | Dentist | 12750 Sw 68th Ave, Portland, OR 97223-8596 | 2007-05-08 |
| 1598863292 | Leon Kirk Gardner | Dentist | 3710 Sw Us Veteran Hosptial Rd, Portland, OR 97239 | 2006-09-20 |
| 1760494587 | Sameh El-ebrashi | Dentist | 2075 Sw 1st Avenue, Suite 2m, Portland, OR 97201 | 2006-08-12 |
| 1831113646 | David Russell Hill | Dentist | 7201 N Interstate Ave, Portland, OR 97217-5523 | 2006-07-26 |
| 1821628504 | Yueh-ling Chao | Dentist | 716 Stevens Ave, Portland, ME 04103-2693 | 2020-01-22 |
| Find all providers in PORTLAND | ||||
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| 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.