SAMUEL J HIGDON DDS PC (NPI# 1467967372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467967372 |
| Entity Type | Organization |
| Organization Name | SAMUEL J HIGDON DDS PC |
| Practice Address |
2250 Nw Flanders St Ste 111 Portland OR 97210-5409 |
| Practice Telephone | 5032274844 |
| Mailing Telephone | 5032274844 |
| Enumeration Date | 2017-12-14 |
| Last Update Date | 2017-12-14 |
| Authorized Official Name | SAMUEL HIGDON (OWNER) |
| Authorized Official Telephone | 5032274844 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers |
| Street Address |
2250 NW FLANDERS ST STE 111 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97210-5409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679109086 | Joseph Francolino | Massage Therapist | 2174 Nw Davis Street, Apartment 105, Portland, OR 97210 | 2020-03-17 |
| 1215574058 | Northwest Dbt LLC | Psychologist | 2230 Nw Pettygrove St., Suite 130, Portland, OR 97210 | 2019-11-27 |
| 1649769480 | Dipesh Patel | Student in an Organized Health Care Education/Training Program | 1200 Nw 23rd Ave. Legacy Clinic Good Samaritan, Portland, OR 97210 | 2018-05-08 |
| 1760987234 | Meghan Teague | Student in an Organized Health Care Education/Training Program | Legacy Good Samaritan Medical Center- Gme, 1015 Nw 22nd Ave, Portland, OR 97210 | 2018-03-27 |
| 1205349172 | Paul M Storm | Acupuncturist | 1708 Nw 25th Ave. Apt. #6, Portland, OR 97210 | 2017-11-14 |
| 1740703750 | Audra K Berning | Massage Therapist | 2122 Nw Quimby, Root Whole Body, Portland, OR 97210 | 2017-07-21 |
| 1720539810 | Anna-marie Elizabeth Wood | Audiologist | 2222 Nw Lovejoy St Ste 662, Portland, OR 97210 | 2016-10-24 |
| 1659829836 | H&s Pearl, LLC | Massage Therapist | 25 Nw 23rd Pl, Suite 7, Portland, OR 97210 | 2016-09-15 |
| 1255785796 | Cortez Natural Medicine, Inc. | Acupuncturist | 2230 Nw Pettygove Street, Unit 130, Portland, OR 97210 | 2016-04-21 |
| 1932563616 | Vincent Chen | Student in an Organized Health Care Education/Training Program | 1200 Nw 23rd Avenue, Legacy Clinic Good Samaritan, Portland, OR 97210 | 2016-04-08 |
| Find all providers in zip 97210 | ||||
| Taxonomy Code | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740654466 | Boundless Assistive Technology, LLC | Durable Medical Equipment & Medical Supplies | 7490 Sw Bridgeport Rd, Portland, OR 97224 | 2015-11-18 |
| 1275912578 | Oregon Pedorthic Services Inc | Durable Medical Equipment & Medical Supplies | 8301 Se 13th Ave, Portland, OR 97202-7101 | 2015-05-20 |
| 1740612753 | Marilyn Hayward | Durable Medical Equipment & Medical Supplies | 2025 Se Hawthorne Blvd, Portland, OR 97214-3819 | 2013-07-31 |
| 1174868970 | United Seating and Mobility LLC | Durable Medical Equipment & Medical Supplies | 1915 Ne 7th Ave, Portland, OR 97212-3906 | 2012-12-05 |
| 1831496611 | Scooters America LLC | Durable Medical Equipment & Medical Supplies | 7525 Ne Ambassador Pl Ste B, Portland, OR 97220-6808 | 2011-02-14 |
| 1598908360 | Medius Medical Concepts, Inc. | Durable Medical Equipment & Medical Supplies | 111 Sw 5th Ave, Suite 1100, Portland, OR 97204-3604 | 2009-04-09 |
| 1376713339 | Kinaesthetics, Inc. | Durable Medical Equipment & Medical Supplies | 7725 W Stark St, Portland, OR 97229-6718 | 2008-03-06 |
| 1538348693 | Hand Therapy Specialists, Inc | Durable Medical Equipment & Medical Supplies | 300 Se 80th Ave, Portland, OR 97215-1526 | 2007-10-25 |
| 1275667701 | Orthotic Prosthetic Associates Inc | Durable Medical Equipment & Medical Supplies | 173a Ne 102nd Ave, Portland, OR 97220-4176 | 2007-03-15 |
| 1063572881 | Oregon Pedorthic Services, Inc. | Durable Medical Equipment & Medical Supplies | 9900 Se Washington St, Mall 205, Ste C-36, Portland, OR 97216-2422 | 2006-12-11 |
| 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.