PEDIATRIC DENTISTRY OF WEST LINN (NPI# 1346607363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346607363 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC DENTISTRY OF WEST LINN |
| Practice Address |
2020 8th Ave Suite #121 West Linn OR 97068-4657 |
| Practice Telephone | 5033056505 |
| Mailing Telephone | 5033056505 |
| Enumeration Date | 2016-01-21 |
| Last Update Date | 2016-01-21 |
| Authorized Official Name | MISS KYLIE BRASMER (OFFICE MANAGER) |
| Authorized Official Telephone | 5032350313 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
OR | Dental Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | PEDIATRIC DENTISTRY OF WEST LINN, LLC | 2020 West 8th Ave, Suite 121, West Linn, OR 97068 |
| Street Address |
2020 8TH AVE SUITE #121 |
| City | WEST LINN |
| State | OR |
| Zip Code | 97068-4657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124075791 | Gregory Gullo | Anesthesiology | 2020 8th Ave, Suite 200, West Linn, OR 97068-4657 | 2006-05-28 |
| 1972014967 | Gina Briana Meyer | Massage Therapist | 2020 8th Ave, West Linn, OR 97068-4657 | 2017-10-17 |
| 1750890414 | Ginabfit | Massage Therapist | 2020 8th Ave, West Linn, OR 97068-4657 | 2017-09-26 |
| 1043769227 | West Linn Vision Center Inc | Optometrist | 2020 8th Ave, Suite A, West Linn, OR 97068-4657 | 2016-09-28 |
| 1851741227 | Lance Jordan Nelson | Physical Therapist | 2020 8th Ave, Suite D, West Linn, OR 97068-4657 | 2016-06-16 |
| 1174972053 | Active Edge Physical Therapy & Sports Medicine | Physical Therapist | 2020 8th Ave, Suite D, West Linn, OR 97068-4657 | 2016-06-10 |
| 1407236177 | Advanced Toxicology,llc | Clinical Medical Laboratory | 2020 8th Ave, Suite 221, West Linn, OR 97068-4657 | 2015-06-08 |
| 1285011403 | Golden Toxicology,llc | Clinical Medical Laboratory | 2020 8th Ave, Suite 218, West Linn, OR 97068-4657 | 2015-04-27 |
| 1376941427 | Lauren Elizabeth Koch | Physical Therapist | 2020 8th Ave, Suite D, West Linn, OR 97068-4657 | 2014-12-05 |
| 1396140349 | Rebecca Anne Feuerherd | Specialist/Technologist | 2020 8th Ave, Suite D, West Linn, OR 97068-4657 | 2014-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023678224 | Bethany Joy Bivin | Registered Nurse | 2020 8th Ave Ste 230, West Linn, OR 97068 | 2019-06-19 |
| 1932612777 | Portland Dental Works, LLC | Dentist | 1750 Mckillican, West Linn, OR 97068 | 2017-11-15 |
| 1316460702 | Cameron Johnson Dc LLC | Chiropractor | 21400 Salamo Rd, West Linn, OR 97068 | 2017-07-18 |
| 1376913301 | Genesis Medical Concepts, LLC | Durable Medical Equipment & Medical Supplies | 2020 8th Ave Ste 222, West Linn, OR 97068 | 2015-10-02 |
| 1780052977 | Amanda Carole Tipton | Chiropractor | 21860 Willamette Drive, West Linn, OR 97068 | 2015-09-04 |
| 1457766859 | Eyedeology, Inc | Optometrist | 5656 Hood St. Ste 107, West Linn, OR 97068 | 2014-06-24 |
| 1740694660 | Ariana Bissinger | Nurse Practitioner | 1148 Rosemont Rd, West Linn, OR 97068 | 2014-06-18 |
| 1154606887 | Heather Marie Ellison | Massage Therapist | 22000 Willamette Dr., #107, West Linn, OR 97068 | 2011-10-13 |
| 1336432616 | Lisa Grage | Dental Hygienist | 3551 Coeur D'alene Dr., West Linn, OR 97068 | 2011-05-19 |
| 1316240583 | David Robert Gleave | Psychologist | 1800 Blankenship Rd Ste 200, West Linn, OR 97068 | 2010-12-10 |
| Find all providers in zip 97068 | ||||
| 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 |
|---|---|---|---|---|
| 1366923245 | Big Tooth Little Tooth Pediatric Dentistry PC | Dentist | 2020 8th Ave Ste 121, West Linn, OR 97068-4657 | 2018-08-28 |
| 1447453899 | Dana Anthony Yip | Dentist | 18676 Willamette Dr, Suite 301, West Linn, OR 97068-1718 | 2007-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588297279 | Dennis M Dunne Dds PC | Dentist | 1600 Executive Pkwy Ste 350, Eugene, OR 97401-7110 | 2020-02-20 |
| 1225678139 | Eric E Jacobsen Dds PC | Dentist | 19502 Molalla Ave Ste 109, Oregon City, OR 97045-4513 | 2020-01-08 |
| 1982168506 | Anthony Frank Vinciguerra | Dentist | 37315 Second St, Nehalem, OR 97131-9679 | 2019-01-28 |
| 1114493582 | Matt W Anderson Dds PC | Dentist | 2215 Willamette St Ste A, Eugene, OR 97405-3341 | 2018-10-23 |
| 1578057618 | Bittner & Flann LLC | Dentist | 17680 Sw Handley St Ste 201, Sherwood, OR 97140-9299 | 2018-06-21 |
| 1700374154 | Fox Kids Dentistry & Orthodontics II | Dentist | 1401 Se Morrison St Ste 120, Portland, OR 97214-2777 | 2018-05-01 |
| 1053812081 | Armin Afshar | Dentist | 201 Se Washington St Ste A, Dallas, OR 97338-2860 | 2018-02-25 |
| 1942712922 | Harmony Pediatric Dental Group LLC | Dentist | 37515 Se Hwy 26, Sandy, OR 97055 | 2017-10-30 |
| 1790225399 | Childrens Dentistry | Dentist | 515 W Idaho Ave, Ontario, OR 97914-2348 | 2017-03-01 |
| 1679924526 | Pediatric Dentistry of Portland LLC | Dentist | 2811 Ne Wasco St, Portland, OR 97232-1771 | 2016-06-22 |
| 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.