TATYANA J DEMBROW (NPI# 1497750715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497750715 |
| Entity Type | Individual |
| Full Name | TATYANA J DEMBROW |
| Credential | ARNP |
| Practice Address |
501 Ne Hood Ave Suite 100 Gresham OR 97030-7303 |
| Mailing Address |
3727 Ne Martin Luther King Jr Blvd Attn: Credentialing Portland OR 97212-1112 |
| Practice Telephone | 5037754931 |
| Practice Fax Number | 5037887285 |
| Mailing Telephone | 5037754931 |
| Mailing Fax Number | 5037887285 |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2011-11-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
200850159NP FNP- | OR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500603628 | 05 | |
| WA | 9659657 | 05 |
| Street Address |
501 NE HOOD AVE SUITE 100 |
| City | GRESHAM |
| State | OR |
| Zip Code | 97030-7303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619433968 | Kaitlyn R Daily | Massage Therapist | 501 Ne Hood Ave, Suite 205, Gresham, OR 97030 | 2019-02-12 |
| 1104221530 | Active Family Chiropractic, LLC | Chiropractor | 501 Ne Hood Ave, Suite 205, Gresham, OR 97030-7303 | 2014-10-28 |
| 1215275730 | Hardin Orthodontics | Dentist | 501 Ne Hood Ave, Suite 305, Gresham, OR 97030-7303 | 2013-01-17 |
| 1811203896 | Stephen K. Choong, Md PC | Surgery | 501 Ne Hood Ave, Suite 205, Gresham, OR 97030-7303 | 2010-08-27 |
| 1306966569 | Columbia Medical and Endocrine Clinic | Internal Medicine | 501 Ne Hood Ave, Suite 215, Gresham, OR 97030-7303 | 2007-03-30 |
| 1447316831 | Summer A Archibald | Dentist | 501 Ne Hood Ave, Suite 333, Gresham, OR 97030-7303 | 2006-12-29 |
| 1851455703 | Scott S Hansen | Dentist | 501 Ne Hood Ave, Suite 333, Gresham, OR 97030-7303 | 2006-12-21 |
| 1326134016 | Stephen K. Choong | Surgery | 501 Ne Hood Ave, Suite 205, Gresham, OR 97030-7303 | 2006-10-04 |
| 1851317598 | Penny Johnsrud | Nurse Practitioner | 501 Ne Hood Ave, Suite 100, Gresham, OR 97030-7303 | 2006-07-14 |
| 1053375089 | Tod M Hardin | Dentist | 501 Ne Hood Ave, Suite 305, Gresham, OR 97030-7303 | 2006-04-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174032312 | Tiffany Chen | Occupational Therapist | 304 Ne Hood Ave., Gresham, OR 97030 | 2017-09-20 |
| 1225568454 | Goldstar Vascular Access, Inc | Home Infusion | 2870 Ne Hogan Dr, Ste E #205, Gresham, OR 97030 | 2017-06-20 |
| 1861940454 | Jessica Morrow | Massage Therapist | 1748 Nw Fairview Dr., Gresham, OR 97030 | 2016-09-13 |
| 1033665898 | Bonita Baxter | Counselor | 400 Ne 7th Street, Gresham, OR 97030 | 2016-08-31 |
| 1710335484 | Ethan William Hoccom | Counselor | 1527 Ne Lamesa Place 17th St, Gresham, OR 97030 | 2016-06-02 |
| 1992159610 | Kathleen Kline, Lmt | Massage Therapist | 1217 Ne Burnside Road Suite 701-d, Gresham, OR 97030 | 2016-04-19 |
| 1215390109 | The Wallace Medical Concern | Nurse Practitioner | 254 Nw Burnside Road, Gresham, OR 97030 | 2016-03-30 |
| 1932568912 | Atchison Dialysis, LLC | Clinic/Center | 878 Nw Burnside Rd, Gresham, OR 97030 | 2016-02-18 |
| 1912374034 | Hilary Dawn Montgomery | Counselor | 1326 Nw Civic Dr # 5569, Gresham, OR 97030 | 2015-08-24 |
| 1992171730 | Melissa E Childs | Massage Therapist | 1217 Nw Burnside Rd Ste 701, Gresham, OR 97030 | 2015-08-17 |
| Find all providers in zip 97030 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215390109 | The Wallace Medical Concern | Nurse Practitioner | 254 Nw Burnside Road, Gresham, OR 97030 | 2016-03-30 |
| 1679865729 | Rebecca Martinez | Nurse Practitioner | 600 Ne 8th, 3rd Floor, Gresham, OR 97030 | 2011-05-09 |
| 1922338789 | Sara Kline Mitenbuler | Nurse Practitioner | 600 Ne 8th St Ste 300, Gresham, OR 97030-7318 | 2009-12-30 |
| 1902468358 | Sara Miller | Nurse Practitioner | 600 Ne 8th St Fl 3, Gresham, OR 97030-7317 | 2019-07-06 |
| 1407312143 | Shellie Anne Yoshie Finck | Nurse Practitioner | 831 Nw Council Dr Ste 101, Gresham, OR 97030-3722 | 2019-02-19 |
| 1053895110 | Renae Rykaczewski | Nurse Practitioner | 600 Ne 8th St Ste 300, Gresham, OR 97030-7318 | 2018-09-24 |
| 1114407301 | Crystal Luna | Nurse Practitioner | 2850 Se Powell Valley Rd, Gresham, OR 97080 | 2018-08-16 |
| 1396252524 | Candice Lyn Hunter | Nurse Practitioner | 600 Ne 8th St Ste 300, Gresham, OR 97030-7318 | 2018-01-09 |
| 1528575388 | Luis Adan Sanchez | Nurse Practitioner | 600 Ne 8th St Ste 300, Gresham, OR 97030-7318 | 2018-01-02 |
| 1295248003 | Alexandra Marie Sigmon | Nurse Practitioner | 2850 Se Powell Valley Rd, Gresham, OR 97080-1494 | 2017-11-15 |
| Find all providers in GRESHAM | ||||
Please comment or provide details below to improve the information on TATYANA J DEMBROW.
| 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.