DR. ALIX JISUN LEEMIN (NPI# 1447721295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447721295 |
| Entity Type | Individual |
| Full Name | DR. ALIX JISUN LEEMIN |
| Credential | DMD |
| Practice Address |
2350 Sw Multnomah Blvd Ste C Portland OR 97219-3999 |
| Practice Telephone | 5034469000 |
| Mailing Telephone | 5034469000 |
| Enumeration Date | 2018-12-05 |
| Last Update Date | 2020-01-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
D10990 | OR | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6395 Keizer Station Blvd Ne, Keizer, OR 973032305 | 6508629632 |
| Street Address |
2350 SW MULTNOMAH BLVD STE C |
| City | PORTLAND |
| State | OR |
| Zip Code | 97219-3999 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356958672 | Lighthouse Psychological Services, LLC | Psychologist | 630 Sw Nevada St, Ste. E, Poralnd, OR 97219 | 2020-09-30 |
| 1083130991 | Tawayne Nolen Malone Jr. | Psychologist | 0615 Sw Palatine Hill Road, Tawayne Malone - Msc 2159, Portland, OR 97219 | 2017-08-22 |
| 1548667918 | Eleven Eleven, LLC | Specialist/Technologist, Other | 6714 Sw 62nd Place, Portland, OR 97219 | 2014-12-01 |
| 1023414257 | Paul Shayne Hansen | Adult Companion | 9155 Sw 55th Avenue, Portland, OR 97219 | 2014-11-17 |
| 1154721850 | Mikhail Govshievich | Denturist | 9045 Sw Barbur Blvd. Suit 117, Portland, OR 97219 | 2014-08-29 |
| 1255749404 | Kristin Rae Paruszkiewicz | Physical Therapist | 7943 Sw Barbur Blvd #1, Portland, OR 97219 | 2014-07-31 |
| 1639436488 | Michelle Lorraine Emery | Counselor | 7912 Sw 35th, Portland, OR 97219 | 2012-04-18 |
| 1588930192 | Steve Ryan | Speech-Language Pathologist | 3315 Sw Falcon St, Portland, OR 97219 | 2012-03-28 |
| 1104145952 | Multnomah Family Care Center | Clinic/Center | 6787 Sw Capitol Hwy, Portland, OR 97219 | 2010-05-19 |
| 1740518331 | Trilbie L Patteson | Physical Therapy Assistant | 5701 Sw Multnomah Boulevard, West Hills Health and Rehab, Portland, OR 97219 | 2009-11-20 |
| Find all providers in zip 97219 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881209641 | Candid Maine PC | Dentist | 415 Congress St Ste 201, Portland, ME 04101-3500 | 2020-09-09 |
| 1013547116 | Comfort Orthodontics PC | Dentist | 1702 Us Highway 181 Ste A8, Portland, TX 78374-3588 | 2020-01-17 |
| 1306497094 | Smile Clinic, LLC | Dentist | 163 Fore St Ste A, Portland, ME 04101-6806 | 2019-09-24 |
| 1891208724 | Jd Miller Dds PC | Dentist | 2250 Nw Flanders St Ste 112, Portland, OR 97210-5409 | 2017-11-14 |
| 1487059986 | Damonco Pllc | Dentist | 1702 Hwy 181 N, Suite A-8, Portland, TX 78374-3588 | 2014-10-27 |
| 1437581881 | Tamara Justus | Dentist | 11790 Sw Barnes Rd Ste 390, Portland, OR 97225-5935 | 2013-08-07 |
| 1992146484 | Rachel Yamakawa | Dentist | 4419 Se Woodstock Blvd, Portland, OR 97206-6271 | 2013-07-11 |
| 1275974271 | Lauren Weber | Dentist | 0677 Sw Lowell St Apt 355, Portland, OR 97239-4423 | 2013-07-08 |
| 1255649885 | Marie Lathrop | Dentist | 5737 Se Milwaukie Ave, Portland, OR 97202-4919 | 2010-09-16 |
| 1568796274 | Jennifer J Crowe | Dentist | 3332 N Lombard St Ste B, Portland, OR 97217-1258 | 2009-09-28 |
| 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.