AMANDA NOELLE JENKINS (NPI# 1104462340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104462340 |
| Entity Type | Individual |
| Full Name | AMANDA NOELLE JENKINS |
| Practice Address |
17675 Sw Tv Hwy Beaverton OR 97003-4443 |
| Mailing Address |
484 N 10th St Saint Helens OR 97051-1311 |
| Practice Telephone | 5032593160 |
| Mailing Telephone | 5034385155 |
| Enumeration Date | 2019-11-22 |
| Last Update Date | 2019-11-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | 120622 | OR | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679602981 | Amanda Hazel Jenkins | Social Worker | 12 Orchard St, Lynn, MA 01905-2820 | 2007-03-04 |
| 1982205548 | Amanda Jenkins | Pharmacist | 12504 Us Route 60, Ashland, KY 41102-9687 | 2020-11-02 |
| 1417484825 | Amanda Dawn Jenkins | Chiropractor | 420 Johnson Rd Ste 204, Keller, TX 76248-3462 | 2017-05-16 |
| 1447782180 | Amanda Jenkins | Registered Nurse | 901 12th Ave, Seattle, WA 98122-4411 | 2017-03-31 |
| 1801341136 | Amanda Jenkins | Nurse Practitioner | 310 N Hammes Ave, Ste 202, Joliet, IL 60435-8118 | 2016-08-16 |
| 1457706301 | Amanda Jenkins | Social Worker | 124 S 400 E Ste 250, Salt Lake City, UT 84111-5315 | 2016-04-28 |
| 1043605942 | Amanda Jenkins | Counselor | 7300 W College Dr Ste 203, Palos Heights, IL 60463-1183 | 2015-03-30 |
| 1891195699 | Amanda Jenkins | Physician Assistant | 175 S Union Blvd, Suite 350, Colorado Springs, CO 80910-3113 | 2014-08-28 |
| 1699101832 | Amanda S Jenkins | Nurse Practitioner | 6210 S Broadway Ave, Tyler, TX 75703-4413 | 2013-09-19 |
| 1568671865 | Amanda Jenkins | Nurse's Aide | 2250 Hickory Rd, Suite 240, Plymouth Meeting, PA 19462-1047 | 2007-05-22 |
| Street Address |
17675 SW TV HWY |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97003-4443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508921412 | Patsy-lynn Ragonese | Dental Hygienist | 17675 Sw Tv Hwy, Beaverton, OR 97006 | 2006-12-22 |
| 1245635283 | Jennifer Monique Wakumelo | Dental Assistant | 17675 Sw Tv Hwy, Beaverton, OR 97006 | 2014-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619407830 | Sania Lodhi | Counselor | 1510 Sw 172nd Terrace, 304, Beaverton, OR 97003 | 2017-06-20 |
| 1922555432 | Frank Wesley Ohmes | Dental Hygienist | 3280 Sw 170th Ave Apt 604, Beaverton, OR 97003 | 2016-09-01 |
| 1952761041 | Hi 5 Orthodontics | Dentist | 18325 Sw Alexander, Suite 2, Aloha, OR 97003 | 2016-03-02 |
| 1063899508 | Tracy Campos | Dental Hygienist | 20323 Sw Blaine St, Aloha, OR 97003 | 2015-05-05 |
| 1295129104 | Anthony Adams | Dentist | 20285 Sw Tualatin Valley Hwy, Aloha, OR 97003 | 2015-03-28 |
| 1235254731 | Jieyi Zhang | Acupuncturist | 17949 S.w. Tualatin Valley Hwy., Beaverton, OR 97003 | 2007-03-21 |
| 1396860920 | Clinic for Natural & Chinese Medicine | Acupuncturist | 17949 Sw Tualatin Valley Hwy., Beaverton, OR 97003 | 2007-03-20 |
| 1255303749 | Rebecca Janette Lidel | Pharmacist | 17323 Sw Jay Street, Apt. 303, Beaverton, OR 97003 | 2006-02-07 |
| 1336148030 | Thomas T Pham | Dentist | 14665 Sw Millikan Way, Beaverton, OR 97003 | 2005-07-15 |
| 1427541127 | Julie Prior | Dental Hygienist | 20285 Sw Tualatin Valley Hwy, Aloha, OR 97003 | 2018-06-07 |
| Find all providers in zip 97003 | ||||
| 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 |
|---|---|---|---|---|
| 1821428483 | Austin Ruiz | Dental Assistant | 17715 Sw Robert Ln, Beaverton, OR 97007-1890 | 2013-11-19 |
| 1760493217 | Marzia Mohammady | Dental Assistant | 20628 Sw Celebrity Lane, Beaverton, OR 97007 | 2006-08-10 |
| 1275164360 | Tracey Alice Remington | Dental Assistant | 12450 Sw Walker Rd, Beaverton, OR 97005-1401 | 2020-01-28 |
| 1245861343 | Rachelle Comedoy Encabo | Dental Assistant | 12450 Sw Walker Rd, Beaverton, OR 97005-1401 | 2020-01-28 |
| 1295365559 | Rosa Gonzalez Albarado | Dental Assistant | 12450 Sw Walker Rd, Beaverton, OR 97005-1401 | 2020-01-24 |
| 1285264036 | Kelsey Tate | Dental Assistant | 12450 Sw Walker Rd, Beaverton, OR 97005-1401 | 2020-01-21 |
| 1043857105 | Reagan Ravanzo Blanco | Dental Assistant | 4855 Sw Western Ave, Beaverton, OR 97005-3460 | 2019-12-06 |
| 1487291043 | Jamie Lee Story | Dental Assistant | 17675 Sw Tualatin Valley Hwy, Beaverton, OR 97003-4443 | 2019-12-03 |
| 1144866591 | Asela Agtay Wells | Dental Assistant | 4855 Sw Western Ave, Beaverton, OR 97005-3460 | 2019-11-20 |
| 1700421583 | Francisca Yac Riscajche | Dental Assistant | 17675 Sw Tualatin Valley Hwy, Beaverton, OR 97003-4443 | 2019-11-15 |
| Find all providers in BEAVERTON | ||||
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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.