MS. PAMELA JO POUL (NPI# 1093848798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093848798 |
| Entity Type | Individual |
| Full Name | MS. PAMELA JO POUL |
| Credential | EFDA |
| Practice Address |
1063 Mountain View Ln Molalla OR 97038-7375 |
| Mailing Address |
1063 Mountain View Lane Molalla OR 97038 |
| Practice Telephone | 5038295075 |
| Mailing Telephone | 5038295075 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | A7688 | OR | Dental Providers |
| Street Address |
1063 MOUNTAIN VIEW LN |
| City | MOLALLA |
| State | OR |
| Zip Code | 97038-7375 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316435241 | Daniel J Floyd Dmd Ms LLC | Dentist | 863 W. Main St., Suite 200, Molalla, OR 97038 | 2018-04-26 |
| 1285985002 | Julie Kornilkin | Massage Therapist | 9021 S. Gibson Rd., Bldg. B, Molalla, OR 97038 | 2012-09-20 |
| 1326213679 | Lynn Renee Clark | Skilled Nursing Facility | 301 Ridings Avenue, Molalla, OR 97038 | 2008-04-28 |
| 1083887285 | Geoffrey Hsi-wen Wang | Dentist | 175 Grange Avenue, Molalla, OR 97038 | 2008-04-08 |
| 1629283627 | Inkrote Chiropractic Clinic, PC | Chiropractor | 217 N Molalla Ave, Molalla, OR 97038 | 2007-05-12 |
| 1063589406 | Sabrina Marie Frolov | Chiropractor | 207 S Molalla Ave, Molalla, OR 97038 | 2006-11-29 |
| 1639254204 | Silverton Hospital | Specialist | 861 West Main Street, Molalla, OR 97038 | 2006-10-25 |
| 1235231275 | Jay Wallace Walker | Optometrist | 502 E Main Street, Molalla, OR 97038 | 2006-09-01 |
| 1427087931 | Heather Mary Tonga | Physician Assistant | 110 Center Ave, Molalla, OR 97038 | 2006-06-30 |
| 1497715270 | Cutters Hi-school Pharmacy | Pharmacy | 103 Robbins St, Molalla, OR 97038 | 2006-03-24 |
| Find all providers in zip 97038 | ||||
| Taxonomy Code | 126800000X |
| Grouping | Dental Providers |
| Classification | Dental Assistant |
| An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811515760 | Dezerre Munoz | Dental Assistant | 600 Ne 8th St Ste 200, Gresham, OR 97030-7317 | 2020-07-08 |
| 1821616970 | Miryam Gallardo | Dental Assistant | 216 Se 162nd Ave Apt 38, Portland, OR 97233-3839 | 2020-07-06 |
| 1447883855 | Corey Moeller | Dental Assistant | 2824 Ne Moda Way Apt 1335, Hillsboro, OR 97124-7234 | 2020-02-14 |
| 1700432044 | Rochelle Moore | Dental Assistant | 5910 Ulali Dr Ne, Keizer, OR 97303-1500 | 2019-08-13 |
| 1750937231 | Yanyan Claflin | Dental Assistant | 301 Lindgren Dr, Newberg, OR 97132-2410 | 2019-08-12 |
| 1154980589 | Laima Astrauskas | Dental Assistant | 1011 Valley River Way Ste 116b, Eugene, OR 97401-2127 | 2019-06-10 |
| 1174096473 | Victoria Kaye Worthington | Dental Assistant | 9300 Se 91st Ave Ste 310, Happy Valley, OR 97086-3762 | 2019-01-09 |
| 1366911521 | Falasteen Adel | Dental Assistant | 1346 Ne 134th Ave, Portland, OR 97230-3211 | 2018-11-16 |
| 1134609050 | Andrea P Merryman | Dental Assistant | 5135 Skyline Rd South, Salem, OR 97306 | 2018-08-20 |
| 1598251688 | Sara Noelle Wetten | Dental Assistant | 1900 Mclouglin Blvd #68, Oregon City, OR 97045 | 2018-07-02 |
| Find all providers with the same taxonomy | ||||
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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.