KERRI LOGUE


Address: 7201 N Interstate Ave, Portland, OR 97217-5523
Phone: 5032866860

KERRI LOGUE (NPI# 1245728427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245728427
Entity Type Individual
Full Name KERRI LOGUE
Practice Address 7201 N Interstate Ave
Portland
OR 97217-5523
Mailing Address Po Box 2976
Battle Ground
WA 98604-2921
Practice Telephone 5032866860
Enumeration Date 2018-04-24
Last Update Date 2018-04-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 126800000X Dental Assistant 114785 OR Dental Providers

Office Location

Street Address 7201 N INTERSTATE AVE
City PORTLAND
State OR
Zip Code 97217-5523

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831113646 David Russell Hill Dentist 7201 N Interstate Ave, Portland, OR 97217-5523 2006-07-26
1336703198 Vanessa Joan Grant Dental Assistant 7201 N Interstate Ave, Portland, OR 97217-5523 2019-04-26
1083102248 Antonina Kutsar Dental Assistant 7201 N Interstate Ave, Portland, OR 97217-5523 2018-04-24
1881146165 Kaiser Foundation Health Plan of The Northwest Dentist 7201 N Interstate Ave, Portland, OR 97217-5523 2016-11-02
1194172239 Cindy Brooke Firman Dietitian, Registered 7201 N Interstate Ave, Portland, OR 97217-5523 2016-05-18
1861846578 Soroush Amali Dentist 7201 N Interstate Ave, Portland, OR 97217-5523 2016-04-19
1699154302 Nancy Graham Dietitian, Registered 7201 N Interstate Ave, Portland, OR 97217-5523 2015-05-27
1003206236 Melissa Dawn Hill Counselor 7201 N Interstate Ave, Portland, OR 97217-5523 2015-01-26
1831506815 Robert Wilson Dietetic Technician, Registered 7201 N Interstate Ave, Portland, OR 97217-5523 2014-07-22
1053669838 Katarzyna Teegarden Dental Hygienist 7201 N Interstate Ave, Portland, OR 97217-5523 2012-08-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326531666 Working Class Medicine LLC Clinic/Center 2133 N. Willis Blvd, Studio D, Portland, OR 97217 2018-06-12
1235643602 Autism Outreach of Oregon Occupational Therapist 10350 N Vancouver Way #1043, Portland, OR 97217 2017-11-21
1689183717 Kai-uwe H. Hahn Dmd Dba Edelweiss Dental Clinic/Center 3503 N Lombard Street, Portland, OR 97217 2017-09-20
1407308125 Occupational Health Centers of The Southwest, P.a. (tx) Clinic/Center 3449 N Anchor Street, Ste 300a, Portland, OR 97217 2016-10-28
1750740577 Sheila Amoo Adult Companion 236 N Killingworth St. Apt.b104, Portland, OR 97217 2016-02-22
1801282199 Justine Osborn Specialist 4310 N. Interstate Ave, Portland, OR 97217 2015-04-13
1578957742 Paul Buck Md, Dds, PC Clinic/Center 3332 N Lombard St, Suite C, Portland, OR 97217 2015-03-25
1295158186 Rebecca Bulleri Massage Therapist 5416 N. Maryland Ave, Portland, OR 97217 2014-01-28
1659793107 Shellmire Unlimited, P.C. Community/Behavioral Health 4134 N Vancouver Avenue, Suite 102, Portland, OR 97217 2014-01-16
1417207994 Sportland Acupuncture LLC Acupuncturist 1025 N Humboldt, Portland, OR 97217 2012-09-12
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Taxonomy Information

Taxonomy Code 126800000X
Grouping Dental Providers
Classification Dental Assistant

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821616970 Miryam Gallardo Dental Assistant 216 Se 162nd Ave Apt 38, Portland, OR 97233-3839 2020-07-06
1366911521 Falasteen Adel Dental Assistant 1346 Ne 134th Ave, Portland, OR 97230-3211 2018-11-16
1730449893 Tammy Loraine Rongone Dental Assistant 822 N.e. 181st. Ave, Portland, OR 97230-6708 2012-05-23
1205101201 Patrick Stevens Edwards Dental Assistant 8728 N Haven Ave, Portland, OR 97203-3426 2012-03-09
1548464258 Julie Rose Jennings Dental Assistant 11732 Se Malden Ct, Portland, OR 97266-8101 2007-06-14
1750594164 Christine Marie Hassing Dental Assistant 10102 Ne Glisan, Portland, OR 97220 2007-05-08
1598835423 Alona Elizabeth Polecastro Dental Assistant 4512 Se Woodstock, Portland, OR 97206 2006-11-08
1285724021 Rachael Annette Chambers Dental Assistant 7201 N Interstate, North Interstate Dental, Portland, OR 97217-5523 2006-10-13
1760584809 Wanessa Chambers Dental Assistant 5319 Ne Killingsworth St, Portland, OR 97218-2400 2006-09-01
1407963127 Christina A Robledo Dental Assistant North Interstate Dental, 7201 N Interstate, Portland, OR 97217-5523 2006-08-25
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Competitor

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City PORTLAND
Zip Code 97217

Improve Information

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Dataset Information

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.

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