THE FRIENDS OF CRESTON CHILDREN'S DENTAL CLINIC (NPI# 1568785848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568785848 |
| Entity Type | Organization |
| Organization Name | THE FRIENDS OF CRESTON CHILDREN'S DENTAL CLINIC |
| Practice Address |
4701 Se Bush St Portland OR 97206-3283 |
| Mailing Address |
10505 Se 17th Ave Multnomah Dental Society Milwaukie OR 97222-7475 |
| Practice Telephone | 5039165808 |
| Mailing Telephone | 5035135010 |
| Enumeration Date | 2010-03-01 |
| Last Update Date | 2010-03-01 |
| Authorized Official Name | LORA D MATTSEN (SECRETARY/TREASURER) |
| Authorized Official Telephone | 5035135010 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251V00000X | Voluntary or Charitable | D5168 | OR | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | THE FRIENDS OF CRESTON CHILDREN'S DENTAL CLINIC | 10505 Se 17th Ave, Milwaukie, OR 97222 |
| Street Address |
4701 SE BUSH ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97206-3283 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346852365 | Amanda Kristine Fredrickson | Dietitian, Registered | 3611 Se 64th Ave., Portland, OR 97206 | 2020-08-20 |
| 1578108940 | Amy Groulx | Technician | 5506 Se Mitchell St, Portland, OR 97206 | 2019-11-08 |
| 1477061265 | Lisa Marie Matejka | Naturopath | 5235 Se Lambert St, Apt. #b6, Portland, OR 97206 | 2018-01-16 |
| 1639625205 | Mollie Kathleen Pence | Registered Nurse | 2415 43rd Ave, Suite 100, Cascadia Behavioral Healthcare Urgent Walkin Clinic, Portland, OR 97206 | 2016-09-01 |
| 1457709164 | Lauren Murdoch | Massage Therapist | 4629 Southeast Woodstock Boulevard, Portland, OR 97206 | 2016-06-03 |
| 1962897785 | Meigra Simon LLC | Mechanotherapist | 6842 Se Henry St, Portland, OR 97206 | 2015-03-30 |
| 1891186508 | Teresa Leckron-myers | Case Manager/Care Coordinator | 7916 Se Foster Rd, Portland, OR 97206 | 2015-02-17 |
| 1831597590 | Boey Yean Lim | Acupuncturist | 4629 Se Woodstock Blvd, Portland, OR 97206 | 2014-12-12 |
| 1295082329 | Chase Heywood Price | Acupuncturist | 5425 Se Raymond Street, Portland, OR 97206 | 2012-08-08 |
| 1154678423 | Annelise Sevastiana Schnase | Counselor | 4311 Se Woodstock Blvd, Portland, OR 97206 | 2012-08-06 |
| Find all providers in zip 97206 | ||||
| Taxonomy Code | 251V00000X |
| Grouping | Agencies |
| Classification | Voluntary or Charitable |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003248642 | Janus Youth Programs, Inc. | Voluntary or Charitable | 707 Ne Couch St, Portland, OR 97232-2922 | 2013-08-06 |
| 1366641045 | The Jason Program | Voluntary or Charitable | 65 Washington Ave, Portland, ME 04101 | 2007-07-13 |
| 1598706954 | Jewish Family & Child Service | Voluntary or Charitable | 1221 Sw Yamhill St Ste 301, Portland, OR 97205-2110 | 2006-06-09 |
| 1013987684 | Woodfords Congregational Church, U.c.c. | Voluntary or Charitable | 202 Woodford St, Portland, ME 04103-5602 | 2006-01-25 |
| 1023526878 | Pdx Doulas | Voluntary or Charitable | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2018-01-15 |
| 1821480989 | Southwest Community Health Center | Voluntary or Charitable | 7754 Sw Capitol Hwy, Portland, OR 97219-2477 | 2015-02-26 |
| 1265868673 | Wayne Keith Lewis | Voluntary or Charitable | 707 Ne Couch St, Portland, OR 97232-2922 | 2013-09-17 |
| 1104251297 | Katrina M Romig | Voluntary or Charitable | 707 Ne Couch St, Portland, OR 97232-2922 | 2013-09-07 |
| 1710023247 | Oregon Scottish Rite Clinics | Voluntary or Charitable | 5125 Sw Macadam Ave, Suite 200, Portland, OR 97239-3809 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700483849 | Truenorth Star Ministries | Voluntary or Charitable | 2545 W Harvard Ave, Roseburg, OR 97471-2582 | 2020-10-01 |
| 1841818424 | D.a.w.n.s House | Voluntary or Charitable | 20813 Liberty Ln, Bend, OR 97701-8596 | 2020-07-09 |
| 1558859504 | Rochelle Diane Hamilton | Voluntary or Charitable | 2802 Adams Ave, La Grande, OR 97850-5267 | 2018-04-25 |
| 1104329523 | Corvallis Neighborhood Housing Services | Voluntary or Charitable | 257 Sw Madison Ave Ste 117, Corvallis, OR 97333-4757 | 2018-03-12 |
| 1912432279 | Bit By Bit | Voluntary or Charitable | 38578 Highway 99w, Corvallis, OR 97330-9320 | 2017-04-25 |
| 1215471909 | Northwest Mothers Milk Bank | Voluntary or Charitable | 15875 Sw 74th Ave Ste 100, Tigard, OR 97224-7934 | 2016-12-14 |
| 1568906402 | Community Helping Addicts Negotiate Change Effectively | Voluntary or Charitable | 238 3rd Ave Se, Albany, OR 97321-2857 | 2016-12-12 |
| 1104375468 | Family Tree Relief Nursery | Voluntary or Charitable | 1005 Nw Springhill Dr, Albany, OR 97321-1748 | 2016-09-28 |
| 1538516265 | Kemple Memorial Children's Dental Clinic | Voluntary or Charitable | 1029 Nw 14th St Ste 101, Bend, OR 97703-2189 | 2016-05-23 |
| 1487070181 | United Community Action Network | Voluntary or Charitable | 280 Ne Kenneth Ford Dr, Roseburg, OR 97470-1034 | 2014-03-05 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on THE FRIENDS OF CRESTON CHILDREN'S DENTAL CLINIC.
| 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.