ADVANTAGE HARBOR QALICB, LLC (NPI# 1316368608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316368608 |
| Entity Type | Organization |
| Organization Name | ADVANTAGE HARBOR QALICB, LLC |
| Practice Address |
442 Sw Umatilla Ave Ste 200 Redmond OR 97756-7039 |
| Practice Telephone | 5415043900 |
| Enumeration Date | 2014-01-03 |
| Last Update Date | 2014-01-03 |
| Authorized Official Name | JEANNE DYSERT (EXEC VP OF OPERATIONS) |
| Authorized Official Telephone | 5415043900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D4459 | OR | Dental Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | ADVANTAGE HARBOR QALICB, LLC | 442 Sw Umatilla Ave Ste 200, Redmond, OR 97756 |
| Street Address |
442 SW UMATILLA AVE STE 200 |
| City | REDMOND |
| State | OR |
| Zip Code | 97756-7039 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477693059 | Sharity Love Ludwig | Dental Hygienist | 442 Sw Umatilla Ave Ste 200, Redmond, OR 97756-7039 | 2007-02-06 |
| 1902369903 | Lindsey Kathleen Reeves | Dental Hygienist | 442 Sw Umatilla Ave Ste 200, Redmond, OR 97756-7039 | 2019-04-08 |
| 1679030878 | Tuan Tran | Dentist | 442 Sw Umatilla Ave Ste 200, Redmond, OR 97756-7039 | 2019-02-23 |
| 1841645231 | Kenneth Mckenzie Clow | Dentist | 442 Sw Umatilla Ave Ste 200, Redmond, OR 97756-7039 | 2016-05-04 |
| 1356706733 | Jessica Steele | Dental Hygienist | 442 Sw Umatilla Ave Ste 200, Redmond, OR 97756-7039 | 2015-12-29 |
| 1972970671 | Advantage Dental Group, PC | Dentist | 442 Sw Umatilla Ave Ste 200, Redmond, OR 97756-7039 | 2015-08-28 |
| 1871904755 | Victor Early | Dental Hygienist | 442 Sw Umatilla Ave Ste 200, Redmond, OR 97756-7039 | 2014-05-14 |
| 1164844494 | Advantage Lapine Qalicb, LLC | Dentist | 442 Sw Umatilla Ave Ste 200, Redmond, OR 97756-7039 | 2014-01-06 |
| 1528343100 | Anthony Matthew El Youssef | Dentist | 442 Sw Umatilla Ave Ste 200, Redmond, OR 97756-7039 | 2011-10-14 |
| 1992935357 | Advantage Dental Clinics, LLC | Dentist | 442 Sw Umatilla Ave Ste 200, Redmond, OR 97756-7039 | 2009-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679083349 | Vicki Rae Morris | Foster Care Agency | 3585 Sw 35th St., Redmond, OR 97756 | 2017-10-06 |
| 1275066417 | Norco, Inc | Durable Medical Equipment & Medical Supplies | 655 Nw Jackpine Ave, Redmond, OR 97756 | 2017-04-05 |
| 1750778015 | Kelly Gobler | Occupational Therapy Assistant | 3000 Sw 32nd Street, The Heights Assisted Living, Redmond, OR 97756 | 2015-04-23 |
| 1912303934 | Andrea Adams | Pharmacist | 944 Sw Veterans Way, Redmond, OR 97756 | 2014-11-18 |
| 1649670365 | Advantage Dental Clinics LLC | Dentist | 442 Sw Umatilla Ave., Suite 200, Redmond, OR 97756 | 2014-08-29 |
| 1760891832 | Elizabeth Mae Smith | Counselor | 2659 Sw 4th St Ste 102, Redmond, OR 97756 | 2014-08-04 |
| 1700296837 | Heather A Ahlf | Physician Assistant | 1245 Nw Canal Blvd, Redmond, OR 97756 | 2014-04-29 |
| 1306289277 | Asa Racquel Aramburo | Social Worker | 203 Sw 8th St., Redmond, OR 97756 | 2013-04-10 |
| 1427396969 | Alison Elizabeth Jackson | Pharmacist | 944 Sw 9th Street, Redmond, OR 97756 | 2013-01-17 |
| 1083964449 | Julie C Plachta | Mechanotherapist | 654 Nw 4th Street, Redmond, OR 97756 | 2012-09-13 |
| Find all providers in zip 97756 | ||||
| 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 |
|---|---|---|---|---|
| 1073113015 | Victor Bing-sheng Shih | Dentist | 9235 158th Pl Ne, Redmond, WA 98052-7524 | 2020-10-28 |
| 1326687237 | Quirt, Mongrain, Gibree, P.C. | Dentist | 15446 Bel Red Rd Ste 100, Redmond, WA 98052-5503 | 2019-12-26 |
| 1346894987 | Kramer Alexander Pandolfo Wagner | Dentist | 15965 Ne 85th St Ste 201, Redmond, WA 98052-3593 | 2019-07-31 |
| 1942787569 | Quirt, Mongrain, Gibree, P.C. | Dentist | 8575 164th Ave Ne Ste 200, Redmond, WA 98052-3679 | 2018-07-26 |
| 1720507668 | Qing Wan | Dentist | 6781 194th Pl Ne, Redmond, WA 98052-0561 | 2017-09-12 |
| 1528302601 | Dr Justin Higbee Dds PC | Dentist | 1769 Sw Parkway Dr, Redmond, OR 97756-2550 | 2012-11-15 |
| 1760748602 | Mark S Keener Dmd P.C. | Dentist | 200 Sw 7th St, Redmond, OR 97756-2112 | 2012-04-04 |
| 1659640027 | Kyle J. Frisinger D.m.d. PC | Dentist | 834 Sw 11th St Ste 1, Redmond, OR 97756-2633 | 2011-12-14 |
| 1861780355 | Denise Gayle Hicks | Dentist | 905 Sw Rimrock Way Ste 201, Redmond, OR 97756-2569 | 2011-07-18 |
| 1922303577 | Rafia Jawed | Dentist | 18666 Ne 55th Way, Redmond, WA 98052-6130 | 2011-01-12 |
| Find all providers in REDMOND | ||||
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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.