DR. SUSAN AHLENE NORDSTROM (NPI# 1205984655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205984655 |
| Entity Type | Individual |
| Full Name | DR. SUSAN AHLENE NORDSTROM |
| Other Name | SUSAN AHLENE GUENTZEL |
| Credential | DMD MS |
| Practice Address |
910 Ne 82nd St Vancouver WA 98665-8847 |
| Mailing Address |
6950 Ne Campus Way Hillsboro OR 97124-5611 |
| Practice Telephone | 3605460183 |
| Practice Fax Number | 3605460223 |
| Mailing Telephone | 5039522164 |
| Mailing Fax Number | 5035264418 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2015-05-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
DE 00010334 | WA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518147248 | Susan M. Nordstrom | Registered Nurse | 67 Dutch Hollow Dr, Orangeburg, NY 10962 | 2007-11-09 |
| 1154467900 | Susan Rachel Nordstrom | Physical Therapist | 280 W Macarthur Blvd, Oakland, CA 94611-5642 | 2007-01-29 |
| 1780637793 | Susan I Nordstrom | Nurse Anesthetist, Certified Registered | 915 E 1st St, Duluth, MN 55805-2107 | 2006-05-19 |
| Street Address |
910 NE 82ND ST |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98665-8847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902898307 | Peter Daniel Carlesimo | Dentist | 910 Ne 82nd St, Vancouver, WA 98665-8847 | 2005-08-22 |
| 1619524857 | Ariel Rachel Park | Dentist | 910 Ne 82nd St, Vancouver, WA 98665-8847 | 2019-08-22 |
| 1306399233 | Christopher Allen Primley | Dentist | 910 Ne 82nd St, Vancouver, WA 98665-8847 | 2016-07-27 |
| 1720484801 | Scott Rooker | Dentist | 910 Ne 82nd St, Vancouver, WA 98665-8847 | 2014-11-17 |
| 1740345297 | James Byrne Long | Dentist | 910 Ne 82nd St, Vancouver, WA 98665 | 2006-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023584877 | Always Smiles Dentistry | Dentist | 910 Ne Minnehaha St #12, Vancouver, WA 98665 | 2018-10-19 |
| 1255811196 | Rachael Hickert | Counselor | 1179 Northeast 95th Street, Vancouver, WA 98665 | 2018-08-20 |
| 1063899011 | Edward Michael Borromeo | Massage Therapist | 8500 Ne Hazel Dell Ave Apt. B4, Vancouver, WA 98665 | 2015-04-29 |
| 1033460811 | Gretchen Ann Bell | Speech-Language Pathologist | 511 Ne Anderson Road, Vancouver, WA 98665 | 2012-09-20 |
| 1831322379 | Diana Miriam Copeland | Massage Therapist | 517 Ne 85th Cir, Vancouver, WA 98665 | 2009-09-01 |
| 1073782116 | Roxanne Marie Brown | Contractor | 7902 Ne St. Johns Rd. Ste 105a, Vancouver, WA 98665 | 2008-02-22 |
| 1588726657 | Emil V. Knysh | Contractor | 1307-b Ne 78th. Street, Suite #3, Vancouver, WA 98665 | 2006-12-15 |
| 1275611501 | Jerry L Reams | Contractor | 1307b Ne 78th St., Suite 3, Vancouver, WA 98665 | 2006-11-02 |
| 1053409961 | Richard C. Sheron Dmd Ps | Dentist | 1200 Ne 99th Street, Vancouver, WA 98665 | 2006-10-10 |
| 1316048887 | Frank Roberts Mossman | Optometrist | 7600 Hazeldell Ave, Vancouver, WA 98665 | 2006-09-26 |
| Find all providers in zip 98665 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407255326 | Jesse Ryan Moses | Dentist | 16600 Se 15th Street, Suite A, Vancouver, WA 98683 | 2014-08-15 |
| 1639308307 | Liem Duy Do Dds Pllc | Dentist | 5409 Ne St Johns Rd, Vancouver, WA 98661-2051 | 2009-07-02 |
| 1902032063 | Mark A. Johnson Dds Ps | Dentist | 601 Se 117th Ave Ste 200, Vancouver, WA 98683-5297 | 2009-06-03 |
| 1811121528 | Vancouver Orthodontic Specialists Pllc | Dentist | 406 Se 131st Ave Ste 306, Vancouver, WA 98683-4014 | 2009-05-08 |
| 1790995058 | Lauren Cai Dds Ms | Dentist | 15593 Se Mill Plain Blvd., Suite 120, Vancouver, WA 98684 | 2007-05-23 |
| 1730395583 | Leslie Allen Cotton | Dentist | 1418 Ne 78th St, Vancouver, WA 98665-9631 | 2007-05-15 |
| 1316161219 | Robert S Croft | Dentist | 14201 Ne 20th Ave Ste 3103, Vancouver, WA 98686-6414 | 2007-04-12 |
| 1316066137 | Kara Hobson | Dentist | 7725 Ne Highway 99, Vancouver, WA 98665-8834 | 2007-03-29 |
| 1548324973 | Gretchen M. Schnepper | Dentist | 2702 Ne 78th St Ste 106, Vancouver, WA 98665-0649 | 2006-12-20 |
| 1902979669 | J Ryan Moses Dmd Ps | Dentist | 16500 Se 15 St, Ste 150, Vancouver, WA 98683 | 2006-11-17 |
| Find all providers in VANCOUVER | ||||
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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.