MRS. SHEILA RAE BRAACK (NPI# 1659516482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659516482 |
| Entity Type | Individual |
| Full Name | MRS. SHEILA RAE BRAACK |
| Credential | ASSOCIATE OF SCIENC |
| Practice Address |
2934 Oakridge Ave Roseburg OR 97471-2269 |
| Practice Telephone | 5417845661 |
| Mailing Telephone | 5417845661 |
| Enumeration Date | 2008-12-08 |
| Last Update Date | 2008-12-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | H5442 | OR | Dental Providers |
| Street Address |
2934 OAKRIDGE AVE |
| City | ROSEBURG |
| State | OR |
| Zip Code | 97471-2269 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841805660 | Rae Ann Barnes | Pharmacist | 913 Ne Garden Valley Blvd, Pharmacy, Roseburg, OR 97471 | 2020-09-09 |
| 1023651031 | Colton Phillips | Behavioral Analyst | 940 Nw Garden Valley Bvld #104, Roseburg, OR 97471 | 2019-10-22 |
| 1952884876 | Meredith Krugel Lcsw PC | Clinic/Center | 2225 Nw Stewart Parkway Ste 200, Roseburg, OR 97471 | 2018-09-07 |
| 1114456563 | Philip Kaser Family, LLC | Pharmacy | 1175 W. Harvard Avenue, Roseburg, OR 97471 | 2017-06-08 |
| 1053854208 | Icco LLC | Clinic/Center | 1740 Nw Goetz Street, Roseburg, OR 97471 | 2016-11-21 |
| 1770034589 | Evie Jepsen | Case Manager/Care Coordinator | 2700 Stewart Parkway Annex B, Suite 110, Roseburg, OR 97471 | 2016-10-17 |
| 1932551256 | Jonathan Schmidt | Licensed Practical Nurse | 913 Nm Garden Valley Blvd, Va Roseburg Medical Center, Roseburg, OR 97471 | 2016-07-11 |
| 1932580586 | Jeffrey Mark Wareham | Case Manager/Care Coordinator | 2700 Medical Loop, Annex B, Roseburg, OR 97471 | 2015-06-09 |
| 1558784215 | Ginger Jean Thibedeau | Massage Therapist | 3019 Nw Stewart Parkway, Suite 304 #183, Roseburg, OR 97471 | 2014-01-30 |
| 1427303122 | Karishma Parekh | Internal Medicine | 2460 Nw Stewart Pkwy Ste 103, Roseburg, OR 97471 | 2012-07-18 |
| Find all providers in zip 97471 | ||||
| Taxonomy Code | 124Q00000X |
| Grouping | Dental Providers |
| Classification | Dental Hygienist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992355077 | Karla Lois Preston Wilfong | Dental Hygienist | 1600 Garden Valley Blvd, Roseburg, OR 97471-8700 | 2019-09-19 |
| 1609248392 | Lindsay Bateman | Dental Hygienist | 8150 N Umpqua Hwy, Roseburg, OR 97470-9421 | 2015-10-21 |
| 1083085864 | Cheryl Briggs | Dental Hygienist | 4776 Flournoy Valley Rd, Roseburg, OR 97471-9787 | 2015-10-19 |
| 1184955973 | Christina Olsson | Dental Hygienist | 696 Ne Winchester St, Roseburg, OR 97470-3260 | 2010-01-19 |
| 1023050044 | Carol A. Poe | Dental Hygienist | 1050 Echo Dr, Roseburg, OR 97470-8478 | 2006-06-12 |
| 1881219087 | Karri Deeann Zimmerman | Dental Hygienist | 1313 W Harvard Ave, Roseburg, OR 97471-2838 | 2020-06-12 |
| 1295247666 | Teresa Dove | Dental Hygienist | 150 Ne Kenneth Ford Dr, Roseburg, OR 97470-1042 | 2017-10-25 |
| 1568980407 | Rachel Sutton | Dental Hygienist | 2700 Stewart Parkway, Roseburg, OR 97471 | 2017-08-30 |
| 1932657731 | Wendy Dougherty | Dental Hygienist | 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281 | 2016-09-21 |
| 1194198861 | Leah M Beattie | Dental Hygienist | 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281 | 2015-11-03 |
| Find all providers in ROSEBURG | ||||
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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.