DR. RONALD GLEN PACKHAM (NPI# 1346236718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346236718 |
| Entity Type | Individual |
| Full Name | DR. RONALD GLEN PACKHAM |
| Credential | D.M.D. |
| Practice Address |
18455 Sw Alexander St Suite B Aloha OR 97006-3967 |
| Mailing Address |
20010 Sw Alexander St Suite B Aloha OR 97003-2275 |
| Practice Telephone | 5036499927 |
| Practice Fax Number | 5036499927 |
| Mailing Telephone | 5036499927 |
| Mailing Fax Number | 5036497561 |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2016-05-26 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
7041 | OR | Dental Providers |
| Street Address |
18455 SW ALEXANDER ST SUITE B |
| City | ALOHA |
| State | OR |
| Zip Code | 97006-3967 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336525492 | Benjamin Hellickson | Dentist | 18455 Sw Alexander St, Aloha, OR 97003-3967 | 2015-07-30 |
| 1649654070 | Mattson Hellickson Dental LLC | Dentist | 18455 Sw Alexander St, Aloha, OR 97003-3967 | 2015-07-15 |
| 1184762379 | Samuel James Mattson | Dentist | 18455 Sw Alexander St, Ste A, Aloha, OR 97006-3967 | 2007-02-01 |
| 1558411488 | James C. Mattson, Dmd, PC | Dentist | 18455 Sw Alexander St, Suite A, Aloha, OR 97006-3967 | 2007-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184238727 | Hayden Alexander Meriwether | Dentist | 17895 Ne Evergreen Pkwy, #100, Beaverton, OR 97006 | 2020-09-01 |
| 1336781202 | Courtney Rae Murata | Behavior Technician | 337 Nw 215th Terrace, Apt, 106, Hillsboro, OR 97006 | 2019-10-11 |
| 1992355986 | Pamela J. Viado | Technician | 1220 Nw Weybridge Way, Beaverton, OR 97006 | 2019-09-12 |
| 1477115384 | One Change Group | Community/Behavioral Health | 2499 Nw 206th Ave, Apt A233, Hillsboro, OR 97006 | 2019-07-01 |
| 1649731332 | Regina C. Rizo | Social Worker | 1925 Amberglen Parkway, #3a-131, Hillsboro, OR 97006 | 2019-03-26 |
| 1043731912 | Elizabeth A Cintron | Occupational Therapy Assistant | 1189 Ne 89th Ave Apt 305, Hillsboro, OR 97006 | 2017-06-30 |
| 1265979173 | Lindsay Jensen | Massage Therapist | 15220 Nw Greenbrier Pkwy Ste 260, Beaverton, OR 97006 | 2017-01-30 |
| 1851835722 | Changepoint, Inc | Clinic/Center | 1700 Nw 167th Place, Suite 240, Beaverton, OR 97006 | 2016-12-13 |
| 1689126302 | Occupational Health Centers of The Southwest, P.a. (tx) | Clinic/Center | 2225 Nw Towncenter Drive, Beaverton, OR 97006 | 2016-10-28 |
| 1558717413 | Dillon Duvall | Physical Therapist | 16895 Nw Cornell Rd, #110, Beaverton, OR 97006 | 2016-05-10 |
| Find all providers in zip 97006 | ||||
| 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 |
|---|---|---|---|---|
| 1295129104 | Anthony Adams | Dentist | 20285 Sw Tualatin Valley Hwy, Aloha, OR 97003 | 2015-03-28 |
| 1275924540 | Smith Dental Aloha LLC | Dentist | 18635 Sw Farmington Rd, Aloha, OR 97007-5612 | 2015-02-09 |
| 1245589571 | All About Dental. LLC | Dentist | 19665 Sw Tv Hwy, Suite A-1, Aloha, OR 97006-2352 | 2012-08-31 |
| 1245325885 | James Craig Mattson | Dentist | 18455 Sw Alexander St., Ste A, Aloha, OR 97006 | 2006-10-03 |
| 1811004971 | Michael Pavel Negru | Dentist | 3370 Sw 192nd Ave, Aloha, OR 97006 | 2006-08-24 |
| 1073548491 | Thomas Mark Reedal | Dentist | 3400 Sw 187th Ave, Suite 3, Aloha, OR 97006-3131 | 2006-07-12 |
| 1083601694 | Valerie A. Foster | Dentist | 19560 Sw Alexander St, Aloha, OR 97006-2315 | 2005-09-29 |
| 1649266206 | David E Nevills | Dentist | 18540 Sw Vincent St, Aloha, OR 97078-1578 | 2005-09-20 |
| 1497757801 | Michelle L Graber | Dentist | 18425 Sw Alexander St, Aloha, OR 97003-3932 | 2005-08-15 |
| 1972501104 | Darryl D Farley | Dentist | 17952 Sw Blanton St, Aloha, OR 97007-1329 | 2005-07-12 |
| Find all providers in ALOHA | ||||
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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.