DR. ANGELA BLIZZARD


Address: 7107 Sw Macadam Ave, Portland, OR 97219-3075
Phone: 5032935454

DR. ANGELA BLIZZARD (NPI# 1598702151) 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) 1598702151
Entity Type Individual
Full Name DR. ANGELA BLIZZARD
Credential DMD
Practice Address 7107 Sw Macadam Ave
Portland
OR 97219-3075
Mailing Address 14201 Ne 20th Ave
Suite 2204
Vancouver
WA 98686-6410
Practice Telephone 5032935454
Practice Fax Number 5032449422
Mailing Telephone 3605718181
Mailing Fax Number 3605734029
Enumeration Date 2006-06-01
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0300X Dentist
Specialization: Periodontics
D8054 OR Dental Providers

Office Location

Street Address 7107 SW MACADAM AVE
City PORTLAND
State OR
Zip Code 97219-3075

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104391481 Asraa Obeidi Dentist 7107 Sw Macadam Ave, Portland, OR 97219-3075 2018-10-12
1386922391 Isaac Scott Edwards Dentist 7107 Sw Macadam Ave, Portland, OR 97219-3075 2011-07-25
1396807160 Andrew Nardecchia Dentist 7107 Sw Macadam Ave, Portland, OR 97219-3075 2006-12-15

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1023414257 Paul Shayne Hansen Adult Companion 9155 Sw 55th Avenue, Portland, OR 97219 2014-11-17
1154721850 Mikhail Govshievich Denturist 9045 Sw Barbur Blvd. Suit 117, Portland, OR 97219 2014-08-29
1255749404 Kristin Rae Paruszkiewicz Physical Therapist 7943 Sw Barbur Blvd #1, Portland, OR 97219 2014-07-31
1639436488 Michelle Lorraine Emery Counselor 7912 Sw 35th, Portland, OR 97219 2012-04-18
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1104145952 Multnomah Family Care Center Clinic/Center 6787 Sw Capitol Hwy, Portland, OR 97219 2010-05-19
1740518331 Trilbie L Patteson Physical Therapy Assistant 5701 Sw Multnomah Boulevard, West Hills Health and Rehab, Portland, OR 97219 2009-11-20
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Taxonomy Information

Taxonomy Code 1223P0300X
Grouping Dental Providers
Classification Dentist
Specialization Periodontics

Taxonomy Definition

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

Providers in the same taxonomy and city

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
1104826817 Scott L. Strong Dentist 1585 Sw Marlow Ave, Suite 216, Portland, OR 97225-5176 2005-07-22
Find all providers in PORTLAND

Competitor

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City PORTLAND
Zip Code 97219

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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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