PERMANENTE DENTAL ASSOCIATES, PC (NPI# 1669492500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669492500 |
| Entity Type | Organization |
| Organization Name | PERMANENTE DENTAL ASSOCIATES, PC |
| Practice Address |
7105 Sw Hampton St Tigard OR 97223-8314 |
| Mailing Address |
28556 Sw Cascade Loop Wilsonville OR 97070-8747 |
| Practice Telephone | 5036849274 |
| Mailing Telephone | 5036826206 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. DONALD PRASNICAR (DENTAL DIRECTOR) |
| Authorized Official Telephone | 5036849274 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302R00000X | Health Maintenance Organization | 5960 | OR | Managed Care Organizations |
| Street Address |
7105 SW HAMPTON ST |
| City | TIGARD |
| State | OR |
| Zip Code | 97223-8314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215571013 | Kathi Ann Mari Yamamoto | Dental Assistant | 7105 Sw Hampton St, Tigard, OR 97223-8314 | 2019-11-05 |
| 1669016655 | Farangiz Sadat | Dental Assistant | 7105 Sw Hampton St, Tigard, OR 97223-8314 | 2019-11-01 |
| 1043854110 | Larissa Vanderwall | Dental Assistant | 7105 Sw Hampton St, Tigard, OR 97223-8314 | 2019-11-01 |
| 1952959959 | Cheyenne Yakes | Dental Assistant | 7105 Sw Hampton St, Tigard, OR 97223-8314 | 2019-09-03 |
| 1629510375 | Miriam Fosburgh | Dental Hygienist | 7105 Sw Hampton St, Tigard, OR 97223-8314 | 2016-11-11 |
| 1386186286 | Kaiser Foundation Health Plan of The Northwest | Dentist | 7105 Sw Hampton St, Tigard, OR 97223-8314 | 2016-11-08 |
| 1518411404 | Paula Byun | Dental Hygienist | 7105 Sw Hampton St, Tigard, OR 97223-8314 | 2016-08-08 |
| 1093194110 | Ryan J Leclaire | Dentist | 7105 Sw Hampton St, Tigard, OR 97223-8314 | 2015-05-21 |
| 1174944557 | Lisa Hardy | Dental Assistant | 7105 Sw Hampton St, Tigard, OR 97223-8314 | 2014-01-02 |
| 1952742058 | Shawna Moss | Dental Assistant | 7105 Sw Hampton St, Tigard, OR 97223-8314 | 2013-07-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760042618 | Tess Ivie Manso | Counselor | 8915 Degrees Center St, Tigard, OR 97223 | 2019-06-13 |
| 1780141804 | Amybrunermd LLC | Obstetrics & Gynecology | 6958 Sw Varns Street, Portland, OR 97223 | 2019-02-25 |
| 1417425034 | Patience Marie Rutto | Counselor | 8915 Sw Center Streret, Tigard, OR 97223 | 2018-11-13 |
| 1871089581 | Marina E Menegol | Behavioral Analyst | Center for Social Dynamics, 9115 Southwest Oleson Rd. Ste. 100, Portland, OR 97223 | 2018-07-05 |
| 1215423165 | Katherine Virginia Eichner | Psychologist | 9860 Sw Hall Blvd Ste B, Tigard, OR 97223 | 2018-07-03 |
| 1043717390 | Rayna Donnelly | Physician Assistant | 9735 Sw Shady Ln Ste 102, Tigard, OR 97223 | 2018-04-11 |
| 1376059725 | Kaylie Marilyn Reyes | Behavioral Analyst | 9115 Sw Oleson Road, Portland, OR 97223 | 2017-12-21 |
| 1841704004 | Kathleen Terrell Taylor | Occupational Therapist | 7320 Sw Hunziker, Suite 203, Tigard, OR 97223 | 2017-11-27 |
| 1487163036 | Susie Riess | Counselor | 10763 Sw Greenburg Road, Suite 100, Tigard, OR 97223 | 2017-09-27 |
| 1043731243 | Tam Nguyen | Optometrist | 8795 Sw Scholls Ferry Rd Ste 100, Tigard, OR 97223 | 2017-06-28 |
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| Taxonomy Code | 302R00000X |
| Grouping | Managed Care Organizations |
| Classification | Health Maintenance Organization |
| (1) A form of health insurance in which its members prepay a premium for the HMO’s health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 20; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982145983 | Pro Quality Home Care Inc | Health Maintenance Organization | 16200 Sw Pacific Hwy, 148, Tigard, OR 97224-4053 | 2017-03-10 |
| 1831550326 | Dental3 | Health Maintenance Organization | 7420 Sw Hunziker St Ste F, Tigard, OR 97223-8242 | 2016-03-11 |
| 1851679518 | Luke-dorf, Inc. | Health Maintenance Organization | 10313 Sw 69th Ave, Tigard, OR 97223-9103 | 2011-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073061859 | Logan Calahan | Health Maintenance Organization | 5028 Cumberland Ct Se, Salem, OR 97306-2011 | 2016-09-21 |
| 1306394796 | Rejuven8 Massage and Float Therapy, LLC | Health Maintenance Organization | 249 Liberty St Ne # B60, Salem, OR 97301-3503 | 2016-09-14 |
| 1043767445 | Kaiser Permanente | Health Maintenance Organization | 5381 W Baseline Rd, Hillsboro, OR 97123-6447 | 2016-09-02 |
| 1346607751 | Atrio Health Plans, Inc. | Health Maintenance Organization | 2270 Nw Aviation Dr Ste 3, Roseburg, OR 97470-2077 | 2016-01-15 |
| 1447624663 | Western Psychological and Counseling Services PC | Health Maintenance Organization | 22070 Ne Chinook Way, Fairview, OR 97024-2647 | 2015-11-26 |
| 1548645872 | Benjamin Murphy Lmt | Health Maintenance Organization | 2516 Ne Clackamas St, Portland, OR 97232-1727 | 2015-07-28 |
| 1467835520 | En8 Pain Management | Health Maintenance Organization | 1803 Lansing Ave Ne, Salem, OR 97301-8733 | 2015-07-07 |
| 1922490739 | Molly Hamilton Lmt | Health Maintenance Organization | 9415 Sw 125th Ave Apt 2, Beaverton, OR 97008-4045 | 2015-03-03 |
| 1609268556 | Kaiser Permanente | Health Maintenance Organization | 19748 S Sprague Rd, Oregon City, OR 97045-9640 | 2015-03-02 |
| 1982012662 | Muscle and Movement Therapy | Health Maintenance Organization | 5940 Se 138th Pl, Portland, OR 97236-4402 | 2014-07-26 |
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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.