MADELYN WOOLEY (NPI# 1225640451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225640451 |
| Entity Type | Individual |
| Full Name | MADELYN WOOLEY |
| Credential | RDH |
| Practice Address |
13023 Se 84th Ave Ste A Clackamas OR 97015-9798 |
| Mailing Address |
13624 Se 97th Ave Clackamas OR 97015-8648 |
| Practice Telephone | 5033539992 |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2020-08-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 124Q00000X | Dental Hygienist | DH60979128 | WA | Dental Providers |
| Y | 124Q00000X | Dental Hygienist | H7891 | OR | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | OREGON BOARD OF DENTISTRY | H7891 | 01 |
| Street Address |
13023 SE 84TH AVE STE A |
| City | CLACKAMAS |
| State | OR |
| Zip Code | 97015-9798 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205938016 | Joshua Robert Opperman | Dentist | 13023 Se 84th Ave Ste A, Clackamas, OR 97015-9798 | 2006-09-02 |
| 1689025975 | Yizhou Zhu | Dentist | 13023 Se 84th Ave Ste A, Clackamas, OR 97015-9798 | 2016-06-28 |
| 1467837831 | Thomas Jared Houghton | Dentist | 13023 Se 84th Ave Ste A, Clackamas, OR 97015 | 2015-07-27 |
| 1588813992 | Justin Ryan Goodman | Dentist | 13023 Se 84th Ave Ste A, Clackamas, OR 97015-9798 | 2008-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184103517 | Laurel Perilli | Physical Therapist | 12550 Se 93rd Ave Ste 265, Clackamas, OR 97015 | 2018-08-07 |
| 1306324538 | Kristin Connor Messing | Physical Therapist | 4805 Ne Glisan St, Prov Hall 7e06, Portland, OR 97015 | 2018-07-31 |
| 1902317266 | Darcy Jones Hamrick | Counselor | 12901 Se 97th Ave., Suite 340, Clackamas, OR 97015 | 2017-10-13 |
| 1841723384 | Manon Lavoie | Chiropractor | 17105 Se Sunnyside Rd, Suite 148, Happy Valley, OR 97015 | 2017-04-11 |
| 1235670126 | Michael G Short | Pedorthist | 10117 Se Sunnyside Rd., Ste. H, Clackamas, OR 97015 | 2017-03-13 |
| 1487100756 | Michael Joseph Peizner | Pharmacist | 16300se Evelyn Street, Clackamas, OR 97015 | 2016-08-28 |
| 1316395619 | Jennifer Elaine Walkowski | Physical Therapist | 9100 Se Sunnyside Road, Clackamas, OR 97015 | 2016-05-26 |
| 1649635384 | Brookside Dental - Milwaukie, LLC | Dentist | 9225 Se Sunnyside Rd. Ste 1, Clackamas, OR 97015 | 2015-12-23 |
| 1801216130 | Robert D. Grew Dmd, Inc. | Dentist | 10163 Se Sunnyside Road, Suite 414, Clackamas, OR 97015 | 2014-04-25 |
| 1508205410 | Valerie P Tabalno | Massage Therapist | 15661 Se 82nd Dr, Clackamas, OR 97015 | 2013-06-25 |
| Find all providers in zip 97015 | ||||
| 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 |
|---|---|---|---|---|
| 1033526314 | Tasha Lambson | Dental Hygienist | 13050 Se Kronan Dr, Clackamas, OR 97015-9277 | 2014-07-17 |
| 1841536505 | Linh Nguyen | Dental Hygienist | 10121 Se Sunnyside Rd Ste 320, Clackamas, OR 97015-5713 | 2012-12-27 |
| 1649520537 | Esther Rios | Dental Hygienist | 9775 Se Sunnyside Road Ste 200, Sunnyside Health & Wellness Center, Clackamas, OR 97015-5721 | 2012-09-18 |
| 1588974323 | Kira Melan | Dental Hygienist | 13023 Se 84th Ave, Suite A, Clackamas, OR 97015-9798 | 2010-10-14 |
| 1679727317 | Megan Emily Mcvicker | Dental Hygienist | 13538 Se Glendon Dr, Clackamas, OR 97015-6420 | 2008-11-07 |
| 1043437148 | Michelle Ann Vaughn | Dental Hygienist | 10209 Se Sunnyside Rd., Clackamas, OR 97015 | 2007-04-19 |
| 1831293422 | Sandra Charlene Nelson | Dental Hygienist | 13731 Se 127th Ave, Clackamas, OR 97015 | 2006-09-12 |
| 1356972921 | Shi Li Luo | Dental Hygienist | 10209 Se Sunnyside Rd, Clackamas, OR 97015-9782 | 2020-01-31 |
| 1083256630 | Laura Ann Schaffner | Dental Hygienist | 10209 Se Sunnyside Rd, Clackamas, OR 97015-9782 | 2019-10-15 |
| 1962917724 | Cheryl Ann Drennan | Dental Hygienist | 9225 Se Sunnyside Rd Ste 1, Clackamas, OR 97015-6703 | 2017-12-02 |
| 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.