DR. KATIE SKOVBORG (NPI# 1215156625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215156625 |
| Entity Type | Individual |
| Full Name | DR. KATIE SKOVBORG |
| Credential | D.D.S. |
| Practice Address |
12000 Se 82nd Ave Ste 1145 Clackamas OR 97086 |
| Practice Telephone | 5036539870 |
| Mailing Telephone | 5036539870 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D8783 | OR | Dental Providers |
| Street Address |
12000 SE 82ND AVE STE 1145 |
| City | CLACKAMAS |
| State | OR |
| Zip Code | 97086 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487918793 | Krista Lowen | Dentist | 12000 Se 82nd Ave Ste 1145, Clackamas, OR 97086-7735 | 2012-07-02 |
| 1952615593 | Emma Chioma Adanma Kalu Onwuka | Dentist | 12000 Se 82nd Ave Ste 1145, Clackamas, OR 97086-7735 | 2010-08-05 |
| 1710106125 | Sandhya Susnjara | Dentist | 12000 Se 82nd Ave Ste 1145, Clackamas, OR 97086 | 2007-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063803674 | Brandy Lynn Sajovic | Case Manager/Care Coordinator | 10822 Se 82nd Ave., Suite K, Happy Valley, OR 97086 | 2015-02-18 |
| 1851795561 | Tyler Lundquist | Chiropractor | 16144 Se Happy Valley Town Center Dr #214, Happy Valley, OR 97086 | 2014-10-09 |
| 1184040644 | Rui O'reilly | Massage Therapist | 10911 Se Alyssa Dr, Happy Valley, OR 97086 | 2014-03-07 |
| 1083036990 | Laura Dillard | Registered Nurse | 10822 Se 82nd Ave, Happy Valley, OR 97086 | 2014-01-11 |
| 1699027672 | Clackamas Town Dental, LLC | Dentist | 9225 Se Sunnyside Road, Clackamas, OR 97086 | 2012-10-15 |
| 1750639233 | Northland Hearing Centers, Inc. | Hearing Instrument Specialist | 11800 Se 82nd Avenue, Happy Valley, OR 97086 | 2012-08-15 |
| 1962641654 | Mt Scott Vision and Ocular Imaging Center PC | Optometrist | 9300 Ne 91st Ave, Suite 100, Happy Valley, OR 97086 | 2009-02-19 |
| 1598916546 | Cynthia Sue Weaver | Nurse Practitioner | 9300 Se 91 Ave., Suite 400, Portland, OR 97086 | 2008-10-08 |
| 1396928776 | Cary Ann Fardal | Dietitian, Registered | 13444 Se Piper Dr, Happy Valley, OR 97086 | 2007-12-09 |
| 1689873242 | New Seasons Market - Happy Valley | Pharmacy | 15861 Se Happy Valley Town Center Dr., Happy Valley, OR 97086 | 2007-07-13 |
| Find all providers in zip 97086 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649635384 | Brookside Dental - Milwaukie, LLC | Dentist | 9225 Se Sunnyside Rd. Ste 1, Clackamas, OR 97015 | 2015-12-23 |
| 1376800508 | Lance Don Bailey | Dentist | 10001 Se Sunnyside Rd Ste 250, Clackamas, OR 97015-9748 | 2012-04-12 |
| 1376751479 | Modern Family Dental, P.C. | Dentist | 12340 Se Sunnyside Rd, Clackamas, OR 97015-9320 | 2007-05-21 |
| 1366564825 | Sylvia G Jimenez | Dentist | 11398 Se 82nd Ave, Ste 802, Clackamas, OR 97086-7637 | 2007-04-04 |
| 1205938016 | Joshua Robert Opperman | Dentist | 13023 Se 84th Ave Ste A, Clackamas, OR 97015-9798 | 2006-09-02 |
| 1932214806 | Kent D Lee | Dentist | 12016 Se Sunnyside Rd, Clackamas, OR 97015 | 2006-08-20 |
| 1184640062 | Harold Dean Geist | Dentist | 10209 Se Sunnyside Rd, Clackamas, OR 97015-9782 | 2006-07-14 |
| 1194766048 | Aziz John Karam | Dentist | 13652 Se Taralon Dr, Clackamas, OR 97015-3618 | 2006-06-10 |
| 1225020548 | Mark Noble Fred Reaksecker | Dentist | 15230 Se 82nd Dr, Clackamas, OR 97015-9606 | 2005-08-23 |
| 1841282639 | R. Claire Campbell | Dentist | 13110 Se Sunnyside Rd, Suite A, Clackamas, OR 97015-9333 | 2005-08-17 |
| Find all providers in CLACKAMAS | ||||
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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.