MIROSLAW ANTONI ZYCHLA (NPI# 1609088665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609088665 |
| Entity Type | Individual |
| Full Name | MIROSLAW ANTONI ZYCHLA |
| Credential | DENTURIST |
| Practice Address |
6950 Ne Campus Way Hillsboro OR 97124-5611 |
| Mailing Address |
6207 Louisiana Dr Vancouver WA 98661-7521 |
| Practice Telephone | 8004607644 |
| Practice Fax Number | 5039522264 |
| Mailing Telephone | 3606964265 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122400000X | Denturist | DT-DO-163846 | OR | Dental Providers |
| Street Address |
6950 NE CAMPUS WAY |
| City | HILLSBORO |
| State | OR |
| Zip Code | 97124-5611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841369287 | Edwin David Granum | Dentist | 6950 Ne Campus Way, Hillsboro, OR 97124-5611 | 2006-11-08 |
| 1437608973 | Nicholas Skourtes | Dentist | 6950 Ne Campus Way, Hillsboro, OR 97124-5611 | 2016-09-26 |
| 1083002190 | Aleksandr Lyashenko | Dentist | 6950 Ne Campus Way, Hillsboro, OR 97124-5611 | 2014-12-26 |
| 1881001337 | Eugenia Trusov | Denturist | 6950 Ne Campus Way, Hillsboro, OR 97124-5611 | 2014-07-16 |
| 1184947384 | Donald Dean Carter | Dentist | 6950 Ne Campus Way, Hillsboro, OR 97124-5611 | 2010-03-02 |
| 1376713867 | Francine Margaret Berryhill | Dental Hygienist | 6950 Ne Campus Way, Hillsboro, OR 97124-5611 | 2008-03-11 |
| 1033387337 | Kaliska G Pacheco | Dentist | 6950 Ne Campus Way, Hillsboro, OR 97124-5611 | 2008-02-20 |
| 1851579874 | Helen Louise Massar | Dental Hygienist | 6950 Ne Campus Way, Hillsboro, OR 97124-5611 | 2008-01-31 |
| 1790977791 | Edward Chul Park | Dentist | 6950 Ne Campus Way, Hillsboro, OR 97124-5611 | 2007-08-14 |
| 1386848695 | Willamette Dental Group, P.C. | Dentist | 6950 Ne Campus Way, Hillsboro, OR 97124-5611 | 2007-06-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538705322 | Pamela Anne Martin | Registered Nurse | 2875 Nw Stucki Pl, Hillsboro, OR 97124 | 2019-11-27 |
| 1912548892 | Donnia Mae Schwarz | Behavior Technician | 5121 Ne Elam Young Pkwy, Hillsboro, OR 97124 | 2019-10-02 |
| 1609305036 | Catherine Lydon | Registered Nurse | 18650 Nw Cornell Road Suite 220, Hillsboro, OR 97124 | 2017-06-08 |
| 1376092163 | Michael Han | Pharmacist | 2875 Nw Stucki Avenue/, Hillsboro, OR 97124 | 2016-09-22 |
| 1760868459 | Voices Set Free | Community/Behavioral Health | 254 North 1st Ave., Hillsboro, OR 97124 | 2015-08-04 |
| 1871980151 | Kevin Kar Fai Cheng | Dentist | 7206 Ne Cornell Rd, Hillsboro, OR 97124 | 2015-04-23 |
| 1336530047 | Maegan Lee Mcglone | Behavioral Analyst | 5801 Ne Cornelius Pass Rd, Hillsboro, OR 97124 | 2015-02-17 |
| 1588095772 | Hillsboro Modern Dentistry, PC | Dentist | 2790 Nw 188th Avenue, Suite A, Hillsboro, OR 97124 | 2013-12-12 |
| 1275977043 | Dana Hazell | Massage Therapist | 5035 Ne Elam Young Parkway, Suite 500, Hillsboro, OR 97124 | 2013-04-24 |
| 1679816771 | Candice May Doyle | Massage Therapist | 5215 Ne Elam Young Park Way, Suite A, Hillsboro, OR 97124 | 2013-03-27 |
| Find all providers in zip 97124 | ||||
| Taxonomy Code | 122400000X |
| Grouping | Dental Providers |
| Classification | Denturist |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316576341 | Madeline M Cain | Denturist | 232 Ne Lincoln St Ste B, Hillsboro, OR 97124-3048 | 2020-04-02 |
| 1770704868 | Robert Edford Cain | Denturist | 232 Ne Lincoln, Suite B, Hillsboro, OR 97124 | 2007-05-02 |
| 1356791677 | Jeffrey Jacky | Denturist | 5935 Se Alexander St, Hillsboro, OR 97123-8575 | 2016-06-17 |
| 1881001337 | Eugenia Trusov | Denturist | 6950 Ne Campus Way, Hillsboro, OR 97124-5611 | 2014-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013549575 | Christopher Scott Mayo Jr. | Denturist | 937 Chetco Ave Ste. B, Brookings, OR 97415 | 2020-02-12 |
| 1104465525 | Andrew Kyle Burzynski | Denturist | 853 Ne 4th St., Bend, OR 97701 | 2020-01-02 |
| 1063074250 | Rajeev Rugi Siddappa | Denturist | 740 Avenue H, Seaside, OR 97138-6619 | 2019-07-08 |
| 1548760630 | Stephen Depirro II | Denturist | 740 Avenue H Ste 2, Seaside, OR 97138-6603 | 2018-02-15 |
| 1770083172 | Valley Denture Care LLC | Denturist | 535 N 5th St, Jacksonville, OR 97530-9704 | 2018-02-13 |
| 1407364177 | Joseph Rider | Denturist | 1523 Nw Canal Blvd Ste 101, Redmond, OR 97756-1340 | 2018-01-16 |
| 1821503293 | Calvin Daniel Smith | Denturist | 65 Irving Rd, Eugene, OR 97404 | 2017-12-07 |
| 1841642287 | Veronika Buliga | Denturist | 6842 Se 66th Ave, Portland, OR 97206-7449 | 2016-07-11 |
| 1528435237 | Lidiya Bogdan | Denturist | 4637 Se 128th Ave, Portland, OR 97236-3713 | 2015-08-28 |
| 1407243736 | Kismet Winslow | Denturist | 553 Chetco Ln, Brookings, OR 97415-8159 | 2015-04-24 |
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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.