DR. ANGIE AGNES RAWLEY (NPI# 1619255809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619255809 |
| Entity Type | Individual |
| Full Name | DR. ANGIE AGNES RAWLEY |
| Credential | DMD |
| Practice Address |
2458 Se Burnside Rd Gresham OR 97080-1247 |
| Practice Telephone | 5036668045 |
| Mailing Telephone | 5036668045 |
| Enumeration Date | 2011-07-22 |
| Last Update Date | 2012-02-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D9622 | OR | Dental Providers |
| Street Address |
2458 SE BURNSIDE RD |
| City | GRESHAM |
| State | OR |
| Zip Code | 97080-1247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073730784 | Bradley Fuller | Dentist | 2458 Se Burnside Rd, Gresham, OR 97080-1247 | 2007-04-20 |
| 1841529179 | Katherine Mckitrick | Dentist | 2458 Se Burnside Rd, Gresham, OR 97080-1247 | 2009-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528428554 | Jeffrey Henry Lucero | Social Worker | 4687 Se 1st Terrace, Gresham, OR 97080 | 2016-03-03 |
| 1124371059 | Nickole Turner | Massage Therapist | 2831 Se Palmquist Rd #157, Gresham, OR 97080 | 2012-10-16 |
| 1992061048 | Russell A Wendt | Pharmacist | 2497 Ne Roberts Ave, Gresham, OR 97080 | 2012-04-03 |
| 1821385584 | Angela West | Counselor | 320 Sw 6th Ave., Gresham, OR 97080 | 2011-07-01 |
| 1043543572 | Natalie Dawn Wilson | Behavioral Analyst | 97 Sw Riverview Place, Gresham, OR 97080 | 2009-09-16 |
| 1427205442 | Maria G Jolley | Dental Hygienist | 1267 Se Stapleton Loop, Gresham, OR 97080 | 2008-08-21 |
| 1073776738 | Sabrina Joye Hindman | Marriage & Family Therapist | 6370 Se 26th St, Gresham, OR 97080 | 2008-07-03 |
| 1669676193 | Kimberly Sabin | Nurse Practitioner | 2222 E Powell Blvd, Gresham, OR 97080 | 2007-06-11 |
| 1932223880 | Julie Elizabeth Croshaw | Pharmacist | 2444 E Powell Blvd, Gresham, OR 97080 | 2007-03-18 |
| 1508903261 | Lonetta Elise Davis | Adult Companion | 349 Se Plamblad, Gresham, OR 97080 | 2007-01-31 |
| Find all providers in zip 97080 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124571369 | Main Street Dental | Dentist | 810 N Main Ave, Gresham, OR 97030-5538 | 2016-07-23 |
| 1003298605 | Ngan Hoang | Dentist | 670 Nw Eastman Pkwy, Gresham, OR 97030-7255 | 2015-06-19 |
| 1487990172 | Gresham Family Dentistry, PC | Dentist | 501 Ne Hood Ave Ste 333, Gresham, OR 97030-7346 | 2012-12-27 |
| 1508184839 | Mailiki L Patterson | Dentist | 2383 Se Meadow Ct, Gresham, OR 97080-9398 | 2010-05-11 |
| 1821256827 | Greene & Westermeyer PC | Dentist | 4255 Se 182nd Ave, Gresham, OR 97030 | 2008-05-27 |
| 1942478904 | Avenue Dental Care | Dentist | 1388 E Powell Blvd, Gresham, OR 97030-8004 | 2008-02-13 |
| 1841499696 | Michael L Mckeel | Dentist | 108 Ne Second, Gresham, OR 97030 | 2007-07-12 |
| 1336352368 | Jeremy E Archibald | Dentist | 742 Ne Division St Ste 101, Gresham, OR 97030-3979 | 2007-05-07 |
| 1629107123 | Fredrick C. Thompson | Dentist | 1867 Nw Civic Dr, Gresham, OR 97030-5566 | 2007-03-02 |
| 1427183110 | Brian L Allen | Dentist | 946 Ne Burnside, Gresham, OR 97030 | 2007-02-22 |
| Find all providers in GRESHAM | ||||
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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.