DR. ANDREA NICOLE BELTZNER (NPI# 1346449931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346449931 |
| Entity Type | Individual |
| Full Name | DR. ANDREA NICOLE BELTZNER |
| Credential | D.M.D. |
| Practice Address |
2824 Ne Wasco St Suite 230 Portland OR 97232-1772 |
| Practice Telephone | 5032845678 |
| Practice Fax Number | 5032845556 |
| Mailing Telephone | 5032845678 |
| Mailing Fax Number | 5032845556 |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2007-07-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
D8914 | OR | Dental Providers |
| Street Address |
2824 NE WASCO ST SUITE 230 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97232-1772 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437156734 | Noel Vee Larsen | Dentist | 2824 Ne Wasco St, Portland, OR 97232-1772 | 2005-06-30 |
| 1205184462 | Theodore Rask | Dentist | 2824 Ne Wasco St, Suite 210, Portland, OR 97232-1772 | 2012-08-20 |
| 1063774784 | Laurissa Champion Dmd LLC | Dentist | 2824 Ne Wasco St, Suite 230, Portland, OR 97232-1772 | 2012-06-08 |
| 1225283377 | Jerry Larsen | Dentist | 2824 Ne Wasco St, Suite #230, Portland, OR 97232-1772 | 2008-11-17 |
| 1720240427 | Pediatric Dentistry, Rc | Dentist | 2824 Ne Wasco St, Suite 230, Portland, OR 97232-1772 | 2008-06-25 |
| 1225204670 | Deirdre Froehlich Dmd LLC | Clinic/Center | 2824 Ne Wasco St, Suite 200, Portland, OR 97232-1772 | 2008-05-06 |
| 1043422942 | Michael Gregory Page | Dentist | 2824 Ne Wasco St, Suite 230, Portland, OR 97232-1772 | 2007-05-04 |
| 1609091594 | Lorin W. Rice | Dentist | 2824 Ne Wasco St, Suite 210, Portland, OR 97232-1772 | 2007-04-16 |
| 1851516827 | Reed T. Hall | Dentist | 2824 Ne Wasco St, Suite 210, Portland, OR 97232-1772 | 2007-04-16 |
| 1518046564 | Laurelwood Dental LLC | Dentist | 2824 Ne Wasco St, Suite 210, Portland, OR 97232-1772 | 2006-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293215 | Oregon Change Clinic | Clinic/Center | 650 Ne Holladay Street, Suite 1600, Portland, OR 97232 | 2020-10-17 |
| 1154969947 | Lori Kristen Miracle | Acupuncturist | Kwan Yin Healing Arts Center East Inc, 3115 Ne Sandy Blvd. Suite 231, Portland, OR 97232 | 2019-12-12 |
| 1194285411 | Onampai Modina Soondarotok | Student in an Organized Health Care Education/Training Program | Ipp, Oregon Health & Science University, 2214 Lloyd Center, Portland, OR 97232 | 2019-03-22 |
| 1003399635 | Cathleen Nicole Wenberg | Social Worker | 1839 Ne Couch St, Portland, OR 97232 | 2018-09-10 |
| 1508350760 | Float North | Acupuncturist | 1617 Ne 17th Ave., Portland, OR 97232 | 2018-06-20 |
| 1629560719 | Rachael Lee Walters | Doula | 3005 Ne Hoyt St, Portland, OR 97232 | 2018-06-04 |
| 1225529431 | Jason Sutherland | Social Worker | 707 Ne Couch, Portland, OR 97232 | 2018-05-23 |
| 1770089245 | Richard Farwell Leman | Family Medicine | 800 Ne Oregon St., Suite 772, Portland, OR 97232 | 2018-04-03 |
| 1952803413 | Aleksandra Giedowyn Md PC | Family Medicine | 1923 Ne Broadway Street Suite 2, Portland, OR 97232 | 2018-03-01 |
| 1639680374 | Amanda Matteo | Counselor | 20 Ne 10th Ave, Portland, OR 97232 | 2017-10-20 |
| Find all providers in zip 97232 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700374154 | Fox Kids Dentistry & Orthodontics II | Dentist | 1401 Se Morrison St Ste 120, Portland, OR 97214-2777 | 2018-05-01 |
| 1679924526 | Pediatric Dentistry of Portland LLC | Dentist | 2811 Ne Wasco St, Portland, OR 97232-1771 | 2016-06-22 |
| 1801183488 | World of Smiles, Pediatric Dentistry LLC | Dentist | 11790 Sw Barnes Rd Ste 280, Portland, OR 97225-5935 | 2011-07-05 |
| 1265696629 | Angela Dawn Boydston | Dentist | 2824 Ne Wasco St Ste 230, Portland, OR 97232-1772 | 2008-07-15 |
| 1972639623 | Anastacia M. Whitman | Dentist | 4548 N Albina Ave, Portland, OR 97217-3010 | 2007-02-26 |
| 1114088705 | Michael Biermann | Dentist | 5900 N Lombard St, Portland, OR 97203-4118 | 2006-12-13 |
| 1053408005 | Peter John Lax | Dentist | 830 Ne 47th Ave, Portland, OR 97213-2212 | 2006-10-09 |
| 1376646901 | Krista V Badger Dds PC | Dentist | 3839 Ne Tillamook St, Portland, OR 97212-5338 | 2006-09-07 |
| 1902827199 | Karole H Wilson D.m.d., PC | Dentist | 9370 Sw Greenburg Rd Ste T, Portland, OR 97223-5408 | 2006-07-22 |
| 1083650436 | Susan J Russett-collett | Dentist | 888 Brighton Ave, Portland, ME 04102-1004 | 2006-06-22 |
| Find all providers in PORTLAND | ||||
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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.