DR. ALEXANDRA C. DE MILLO TERRAZZANI (NPI# 1457667842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457667842 |
Entity Type | Individual |
Full Name | DR. ALEXANDRA C. DE MILLO TERRAZZANI |
Credential | D.D.S. |
Practice Address |
13831 Nw Cornell Rd Portland OR 97229-5485 |
Mailing Address |
7486 Se Shamrock Ln Hillsboro OR 97123-6193 |
Practice Telephone | 5036149999 |
Mailing Telephone | 3107396998 |
Enumeration Date | 2010-08-24 |
Last Update Date | 2018-04-05 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0300X |
Dentist Specialization: Periodontics |
D10015 | OR | Dental Providers |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Address | Telephone Number | Fax Number |
---|---|---|
1400 Pelham Parkway South, Jacobi Medical Center, Bronx, NY 10461 | 7189185124 |
Street Address |
13831 NW CORNELL RD |
City | PORTLAND |
State | OR |
Zip Code | 97229-5485 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255392502 | Faith E Winters | Counselor | 13831 Nw Cornell Rd, Suite 104, Portland, OR 97229-5485 | 2006-03-28 |
1952889735 | Viktoriya Krughkov | Dental Hygienist | 13831 Nw Cornell Rd, Portland, OR 97229-5485 | 2018-08-02 |
1275010514 | Andrea Elizabeth Lea Collins | Dentist | 13831 Nw Cornell Rd, Portland, OR 97229-5485 | 2018-07-19 |
1487167565 | Brian Gia Son Phan | Dentist | 13831 Nw Cornell Rd, Portland, OR 97229-5485 | 2017-11-10 |
1801271770 | Diane Henriot | Dentist | 13831 Nw Cornell Rd, Suite C, Portland, OR 97229-5485 | 2015-07-21 |
1679963433 | Anna Nguyen | Dentist | 13831 Nw Cornell Rd, Portland, OR 97229-5485 | 2015-02-02 |
1184879496 | Patricia Jane Cook | Marriage & Family Therapist | 13831 Nw Cornell Rd, Suite 104, Portland, OR 97229-2286 | 2008-12-01 |
1679727929 | Emilia C Adam | Dentist | 13831 Nw Cornell Rd, C, Portland, OR 97229-5485 | 2008-11-13 |
1255596904 | Debra Cox | Massage Therapist | 13831 Nw Cornell Rd, Suite 102, Portland, OR 97229-5485 | 2008-07-22 |
1043439532 | Kevin Barry Mcgovern | Psychologist | 13831 Nw Cornell Rd, Suite 103, Portland, OR 97229-5485 | 2007-04-24 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851919906 | Anjana Rajan | Counselor | Lifeworks Northwest, 14600 Nw Cornell Rd, Portland, OR 97229 | 2020-07-06 |
1871138453 | Kedrick Starr | Case Manager/Care Coordinator | 14600 Nw Cornell Rd., Portland, OR 97229 | 2019-11-07 |
1477102689 | Raquel A Bishop | Nurse Practitioner | 12400 Nw Cornell Rd Ste 100, Portland, OR 97229 | 2019-09-10 |
1669026134 | Alexandra Elizabeth Lodwig | Speech-Language Pathologist | 255 Nw Lost Springs Terrace Apt 304, Portland, OR 97229 | 2019-08-01 |
1003316043 | Jenny Lavonne Thom | Counselor | 15220 Nw Laidlaw Rd., Suite 280, Portland, OR 97229 | 2018-02-16 |
1194230664 | Ankita Guchait | Case Manager/Care Coordinator | 14600 Nw Cornell Rd, Portland, OR 97229 | 2017-12-06 |
1568988913 | Hannah Hendrix Klingelheber | Speech-Language Pathologist | 15605 Nw Ryegrass St., Portland, OR 97229 | 2017-08-17 |
1548791213 | Adeline Mitchell | Registered Nurse | 14600 Sw Cornell Rd., Portland, OR 97229 | 2017-03-24 |
1538610670 | Crystal Graves | Peer Specialist | 14600 Nw Cornell, Portland, OR 97229 | 2016-10-24 |
1639533185 | Evelin James | Dental Hygienist | 5879 Nw Lark Meadow Ter, Portland, OR 97229 | 2016-04-11 |
Find all providers in zip 97229 |
Taxonomy Code | 1223P0300X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Periodontics |
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871026062 | Leila Soltani | Dentist | 430 Sw 13th Ave Apt 2010, Portland, OR 97205 | 2017-04-05 |
1730632266 | Samar Shaikh | Dentist | 716 Stevens Ave # 204, Portland, ME 04103 | 2016-08-02 |
1730472986 | Wilson D Lee | Dentist | 315 Nw Lost Springs Ter, #401, Portland, OR 97229-6444 | 2011-05-20 |
1184954422 | Kamran Haghighat Bds Ms PC | Dentist | 833 Sw 11th Ave Ste 1020, Portland, OR 97205-2124 | 2010-01-08 |
1225292121 | Harjit Singh Sehgal | Dentist | 2730 Sw Moodey Ave, Clsb-5n034, Portland, OR 97201 | 2008-07-10 |
1467516211 | Chirgwin & Herriges, LLC | Dentist | 1130 Se 122nd Ave, Portland, OR 97233-1112 | 2006-12-19 |
1568534519 | Trang N Pham | Dentist | 10356 Ne Wasco St, Portland, OR 97220 | 2006-11-14 |
1811086887 | Winthrop B. Carter | Dentist | 611 Sw Campus Drive, Ohsu School of Dentistry, Sd 177, Portland, OR 97239 | 2006-10-11 |
1295828069 | Southern Maine Periodontal Assoc Pa | Dentist | 276 Canco Rd, Portland, ME 04103 | 2006-10-02 |
1598702151 | Angela Blizzard | Dentist | 7107 Sw Macadam Ave, Portland, OR 97219-3075 | 2006-06-01 |
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.