MS. MELISSA RENEE PENN


Address: 1314 Ne Grand Ave, Portland, OR 97232-1127
Phone: 5032802877

MS. MELISSA RENEE PENN (NPI# 1447398391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447398391
Entity Type Individual
Full Name MS. MELISSA RENEE PENN
Credential C.D.A. - E.F.D.A.
Practice Address 1314 Ne Grand Ave
Portland
OR 97232-1127
Mailing Address 145 Ne Holland St
Portland
OR 97211-2211
Practice Telephone 5032802877
Practice Fax Number 5033313095
Enumeration Date 2007-02-02
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 126800000X Dental Assistant Dental Providers

Other Providers MELISSA PENN

NPI Name Taxonomy Address Enumeration
1720489933 Melissa Penn Advanced Practice Midwife 516 E Nizhoni Blvd, Gallup, NM 87301-5748 2014-09-07
1255439105 Melissa Kay Penn Social Worker 4409 Maine St, Quincy, IL 62305-5849 2006-09-21

Office Location

Street Address 1314 NE GRAND AVE
City PORTLAND
State OR
Zip Code 97232-1127

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659303493 Robert Dawson Barrett Dentist 1314 Ne Grand Ave, Portland, OR 97232-1127 2006-07-06
1568094696 Elizabeth Nadia Osintsev Dental Hygienist 1314 Ne Grand Ave, Portland, OR 97232-1127 2020-02-06
1417424086 Samantha Joyce Shoemaker Dental Assistant 1314 Ne Grand Ave, Portland, OR 97232-1127 2018-10-31
1073026621 Natosha L Bannister Dental Assistant 1314 Ne Grand Ave, Portland, OR 97232-1127 2017-11-06
1982156113 Kaiser Foundation Health Plan of The Northwest Dentist 1314 Ne Grand Ave, Portland, OR 97232-1127 2016-11-04
1023488954 Sharon Lynne Brown Dental Hygienist 1314 Ne Grand Ave, Portland, OR 97232 2015-10-05
1437526399 Megan Hill Dental Hygienist 1314 Ne Grand Ave, Portland, OR 97232-1127 2015-08-26
1760885636 Krista Spencer Dental Assistant 1314 Ne Grand Ave, Portland, OR 97232-1127 2014-10-06
1467882118 Nancy Lo Dental Hygienist 1314 Ne Grand Ave, Portland, OR 97232 2013-11-16
1265875710 Jessica Helen Myers Dental Hygienist 1314 Ne Grand Ave, Portland, OR 97232-1127 2013-04-15
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 126800000X
Grouping Dental Providers
Classification Dental Assistant

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821616970 Miryam Gallardo Dental Assistant 216 Se 162nd Ave Apt 38, Portland, OR 97233-3839 2020-07-06
1366911521 Falasteen Adel Dental Assistant 1346 Ne 134th Ave, Portland, OR 97230-3211 2018-11-16
1730449893 Tammy Loraine Rongone Dental Assistant 822 N.e. 181st. Ave, Portland, OR 97230-6708 2012-05-23
1205101201 Patrick Stevens Edwards Dental Assistant 8728 N Haven Ave, Portland, OR 97203-3426 2012-03-09
1548464258 Julie Rose Jennings Dental Assistant 11732 Se Malden Ct, Portland, OR 97266-8101 2007-06-14
1750594164 Christine Marie Hassing Dental Assistant 10102 Ne Glisan, Portland, OR 97220 2007-05-08
1598835423 Alona Elizabeth Polecastro Dental Assistant 4512 Se Woodstock, Portland, OR 97206 2006-11-08
1285724021 Rachael Annette Chambers Dental Assistant 7201 N Interstate, North Interstate Dental, Portland, OR 97217-5523 2006-10-13
1760584809 Wanessa Chambers Dental Assistant 5319 Ne Killingsworth St, Portland, OR 97218-2400 2006-09-01
1407963127 Christina A Robledo Dental Assistant North Interstate Dental, 7201 N Interstate, Portland, OR 97217-5523 2006-08-25
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Competitor

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City PORTLAND
Zip Code 97232

Improve Information

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Dataset Information

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.

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