MS. STACEY LYNN RITALA


Address: 15962 Sw Tualatin-sherwood Rd., Sherwood, OR 97140
Phone: 5036253767

MS. STACEY LYNN RITALA (NPI# 1588916662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588916662
Entity Type Individual
Full Name MS. STACEY LYNN RITALA
Credential RDH
Practice Address 15962 Sw Tualatin-sherwood Rd.
Sherwood
OR 97140
Practice Telephone 5036253767
Mailing Telephone 5036253767
Mailing Fax Number 5036256956
Enumeration Date 2012-10-12
Last Update Date 2012-10-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 124Q00000X Dental Hygienist H4090 OR Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
OR DENTAL HYGIENE LICENSE OREGON BOARD OF DENTISTRY H4090 01

Office Location

Street Address 15962 SW TUALATIN-SHERWOOD RD.
City SHERWOOD
State OR
Zip Code 97140

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457902744 Barbara Jo Morgan Technician 17752 Sw Inkster Dr., Sherwood, OR 97140 2019-09-27
1588193031 Brett Matthew Hulbert Student in an Organized Health Care Education/Training Program 17193 Sw Terrapin Dr. #106, Sherwood, OR 97140 2017-06-08
1083157416 Lisa Pauline Knudsen Counselor 20512 Sw Roy Rogers Rd, Suite 150, Sherwood, OR 97140 2016-12-03
1982056479 Mari Heslinga Dentist 21332 Sw Langer Farms Pkwy Ste 126, Sherwood, OR 97140 2016-07-07
1649634668 Sheila Johnson Specialist 15885 Sw Springtooth Ln, Sherwood, OR 97140 2016-04-06
1649640335 Northwest Neurohealth LLC Clinical Neuropsychologist 501 N. Villa Road, Newberg, OR 97140 2015-10-07
1366841785 Tae Yoon Pharmacist 21320 Sw Langer Farms Parkway, Sherwood, OR 97140 2014-08-21
1396155701 Wal-mart Stores, Inc Technician/Technologist 21320 Sw Langer Farm, Sherwood, OR 97140 2014-05-07
1518219310 Peggy Ann Lewelling Dental Hygienist 15962 Sw Tualatin-sherwood Rd, Sherwood, OR 97140 2012-10-04
1427307396 Jenna Maren Vernon Physical Therapist 16770 Sw Edy Rd Ste 310, Sherwood, OR 97140 2012-09-06
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Taxonomy Information

Taxonomy Code 124Q00000X
Grouping Dental Providers
Classification Dental Hygienist

Taxonomy Definition

An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518219310 Peggy Ann Lewelling Dental Hygienist 15962 Sw Tualatin-sherwood Rd, Sherwood, OR 97140 2012-10-04
1609176262 Heidi Jo Grubbs Dental Hygienist 19230 Sw Conzelmann Rd, Sherwood, OR 97140-8707 2010-10-29

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1730789439 Carlin Chung Dental Hygienist 8839 Sw Amicus Ter, Beaverton, OR 97007-9045 2020-10-30
1770196586 Sacha Ariana Lodge Dental Hygienist 17065 Shawnee Circle, Bend, OR 97707 2020-08-31
1366051955 Tia Glanding Dental Hygienist 490 W Pickett Creek Rd, Grants Pass, OR 97527-9668 2020-07-29
1396354098 Sierra Nicole Miller Dental Hygienist 2383 Nw Hackamore Ln, Prineville, OR 97754-8011 2020-07-28
1447877899 Kelly Smith Dental Hygienist 7700 Sw Garden Home Rd Apt 24, Portland, OR 97223-7496 2020-07-01
1174159453 Tiffany Bunn Dental Hygienist 7313 Ne Imbrie Dr, Hillsboro, OR 97124-7595 2020-03-18
1598399396 Barbara Angela Worthey Dental Hygienist 1050 Sw 6th Ave, Portland, OR 97204-1156 2020-03-02
1073144671 Michelle Yen Nguyen Dental Hygienist 15280 Se Baron Loop, Happy Valley, OR 97086-4468 2020-02-01
1265063440 Megan Diane Hinchcliff Dental Hygienist 106 Maple Blvd, Wood Village, OR 97060-1111 2020-01-28
1598305765 Gisela Zepeda Dental Hygienist 5851 Se Chase Rd, Gresham, OR 97080-8282 2020-01-15
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Competitor

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City SHERWOOD
Zip Code 97140

Improve Information

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Dataset Information

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.

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