JAYME ELIZABETH HAUCK (NPI# 1124455852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124455852 |
| Entity Type | Individual |
| Full Name | JAYME ELIZABETH HAUCK |
| Credential | RDH |
| Practice Address |
1809 Se Hawthorne Blvd Apt 112 Portland OR 97214-3856 |
| Practice Telephone | 5412312569 |
| Mailing Telephone | 5412312569 |
| Enumeration Date | 2013-09-26 |
| Last Update Date | 2013-09-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | H6548 | OR | Dental Providers |
| Street Address |
1809 SE HAWTHORNE BLVD APT 112 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97214-3856 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773155 | Mamie Nzigire Zagabe | Peer Specialist | 605 Se Cesar Estrada Chavez Blvd, Portland, OR 97214 | 2020-09-01 |
| 1336772243 | Alexandra Mcbryde | Acupuncturist | 959 Se Division St, #315, Portland, OR 97214 | 2020-02-19 |
| 1356973770 | Laura Kille | Counselor | Wise Counsel and Comfort, 2045 Se Hawthorne Blvd., Portland, OR 97214 | 2020-02-05 |
| 1639616436 | Erin Elizabeth Weaver | Acupuncturist | 1330 Se Cesar E Chavez Blvd. Center for Natural Meidici, Portland, OR 97214 | 2017-01-31 |
| 1780126045 | Katherine Aravamudan, Lpc, LLC | Community/Behavioral Health | 1312 E. Burnside Street, Portland, OR 97214 | 2016-11-17 |
| 1003358441 | Michelle Jean Meadows | Massage Therapist | 2804 Se Lincoln St, Portland, OR 97214 | 2016-11-16 |
| 1629429311 | Stephanie Tolentino | Counselor | 605 Se Cesar E Chavez Blvd., Portland, OR 97214 | 2016-06-24 |
| 1790141166 | Marian Iris Dixon | Massage Therapist | 3810 Se Belmont St., Earthbody Wellness Center East, Portland, OR 97214 | 2016-01-14 |
| 1194194589 | Lutheran Community Services Northwest | Community/Behavioral Health | 605 Se Cesar E Chavez Bld, Portland, OR 97214 | 2015-09-16 |
| 1497123566 | Michele R. Stokes | Specialist | 2311 East Burnside B1, Portland, OR 97214 | 2015-09-08 |
| Find all providers in zip 97214 | ||||
| Taxonomy Code | 124Q00000X |
| Grouping | Dental Providers |
| Classification | Dental Hygienist |
| An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053939025 | Raghda A. Salman | Dental Hygienist | 1036 Brighton Ave # Unitea, Portland, ME 04102-1059 | 2020-07-07 |
| 1447877899 | Kelly Smith | Dental Hygienist | 7700 Sw Garden Home Rd Apt 24, Portland, OR 97223-7496 | 2020-07-01 |
| 1598399396 | Barbara Angela Worthey | Dental Hygienist | 1050 Sw 6th Ave, Portland, OR 97204-1156 | 2020-03-02 |
| 1710545710 | Diane Phan | Dental Hygienist | 9151 Se Woodstock Blvd, Portland, OR 97266-5369 | 2019-06-04 |
| 1598264228 | Elizabeth Gordon | Dental Hygienist | 601 Sw Second Ave., Portland, OR 97204-3156 | 2018-02-08 |
| 1649787300 | Allison Renee Gerdes | Dental Hygienist | 3514 Ne Broadway St, Portland, OR 97232-1821 | 2018-01-03 |
| 1992217566 | Megan Van Noy | Dental Hygienist | 8332 Sw 21st Ave Apt 12, Portland, OR 97219-2853 | 2017-11-03 |
| 1861918005 | Kaiser Permanente Dental Care Program | Dental Hygienist | 2930 Ne Dekum St, Portland, OR 97211-6613 | 2017-08-18 |
| 1033634100 | Oma Casandra Hampton | Dental Hygienist | 7018 Ne 10th Ave, Portland, OR 97211-4081 | 2017-08-09 |
| 1932636214 | Hannah Elizabeth Lachance | Dental Hygienist | 131 Johnson Rd, Portland, ME 04102-1988 | 2017-05-17 |
| 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.