KORI MANSEL (NPI# 1285155077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285155077 |
| Entity Type | Individual |
| Full Name | KORI MANSEL |
| Practice Address |
307 Fern Ave Brookings OR 97415-2533 |
| Mailing Address |
612 Winchuck River Rd Brookings OR 97415-8313 |
| Practice Telephone | 5414123810 |
| Enumeration Date | 2017-06-30 |
| Last Update Date | 2017-06-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | Dental Providers |
| Street Address |
307 FERN AVE |
| City | BROOKINGS |
| State | OR |
| Zip Code | 97415-2533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013549575 | Christopher Scott Mayo Jr. | Denturist | 937 Chetco Ave Ste. B, Brookings, OR 97415 | 2020-02-12 |
| 1912564329 | Lori A Burkart | Speech-Language Pathologist | Curry Medical Ctr, 500 5th Street, Brookings, OR 97415 | 2019-05-21 |
| 1881144178 | Costa Clinical Psychology, LLC | Social Worker | 625 Spruce St., # 7666, Brookings, OR 97415 | 2016-10-11 |
| 1194173898 | Columbiacare Services | Community Based Residential Treatment Facility, Mental Illness | 410 Maple St, Brookings, OR 97415 | 2016-06-03 |
| 1336595784 | Monica Shaw | Case Manager/Care Coordinator | 412 Alder, Brookings, OR 97415 | 2016-05-04 |
| 1639531437 | Ian Leonard | Behavioral Analyst | 450 Sb Chetco River Road, Brookings, OR 97415 | 2016-03-22 |
| 1518201151 | Columbacare Services | Community Based Residential Treatment Facility, Mental Illness | 210 Cove Lane, Brookings, OR 97415 | 2012-11-20 |
| 1699033365 | Sunlight Family Center, LLC | Clinic/Center | 604 Spruce Street, Brookings, OR 97415 | 2012-05-01 |
| 1649544784 | Oregon Coast Wellness Inc. | Clinic/Center | 648 Chetco Ave., Brookings, OR 97415 | 2012-03-07 |
| 1790072544 | Elizabeth A. Nation | Registered Nurse | 96343 Alder Ridge Road, Brookings, OR 97415 | 2011-06-30 |
| Find all providers in zip 97415 | ||||
| Taxonomy Code | 126800000X |
| Grouping | Dental Providers |
| Classification | Dental Assistant |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811515760 | Dezerre Munoz | Dental Assistant | 600 Ne 8th St Ste 200, Gresham, OR 97030-7317 | 2020-07-08 |
| 1821616970 | Miryam Gallardo | Dental Assistant | 216 Se 162nd Ave Apt 38, Portland, OR 97233-3839 | 2020-07-06 |
| 1447883855 | Corey Moeller | Dental Assistant | 2824 Ne Moda Way Apt 1335, Hillsboro, OR 97124-7234 | 2020-02-14 |
| 1700432044 | Rochelle Moore | Dental Assistant | 5910 Ulali Dr Ne, Keizer, OR 97303-1500 | 2019-08-13 |
| 1750937231 | Yanyan Claflin | Dental Assistant | 301 Lindgren Dr, Newberg, OR 97132-2410 | 2019-08-12 |
| 1154980589 | Laima Astrauskas | Dental Assistant | 1011 Valley River Way Ste 116b, Eugene, OR 97401-2127 | 2019-06-10 |
| 1174096473 | Victoria Kaye Worthington | Dental Assistant | 9300 Se 91st Ave Ste 310, Happy Valley, OR 97086-3762 | 2019-01-09 |
| 1366911521 | Falasteen Adel | Dental Assistant | 1346 Ne 134th Ave, Portland, OR 97230-3211 | 2018-11-16 |
| 1134609050 | Andrea P Merryman | Dental Assistant | 5135 Skyline Rd South, Salem, OR 97306 | 2018-08-20 |
| 1598251688 | Sara Noelle Wetten | Dental Assistant | 1900 Mclouglin Blvd #68, Oregon City, OR 97045 | 2018-07-02 |
| Find all providers with the same taxonomy | ||||
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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.