OREGON INSTITUTE OF TECHNOLOGY (NPI# 1679091078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679091078 |
| Entity Type | Organization |
| Organization Name | OREGON INSTITUTE OF TECHNOLOGY |
| Other Organization Name | OREGON TECH DENTAL CLINIC-KLAMATH FALLS |
| Practice Address |
3201 Campus Dr Klamath Falls OR 97601-8801 |
| Practice Telephone | 5418851330 |
| Mailing Telephone | 5418851000 |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2017-09-06 |
| Authorized Official Name | VIVIAN CHEN (CONTRACTS OFFICER AND LEGAL LIAISON) |
| Authorized Official Telephone | 5038211266 |
| Authorized Official Credential | J.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | OREGON INSTITUTE OF TECHMOLOGY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | Dental Providers | ||
| N | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers | ||
| N | 124Q00000X | Dental Hygienist | Dental Providers | ||
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Oregon Tech Dental Clinic-Klamath Falls | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932605508 | Oregon Institute of Technology | Assistant Behavior Analyst | 2631 Washburn Way, Klamath Falls, OR 97603 | 2018-04-03 |
| 1245359033 | Oregon Institute of Technology | Student in an Organized Health Care Education/Training Program | 3201 Campus Dr, Dental Hygiene Clinic, Klamath Falls, OR 97601-8801 | 2007-03-29 |
| Street Address |
3201 CAMPUS DR |
| City | KLAMATH FALLS |
| State | OR |
| Zip Code | 97601-8801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265561880 | James Richard Heath IIi | Dentist | 3201 Campus Dr, Dental Clinic, Klamath Falls, OR 97601-8801 | 2007-03-02 |
| 1710122387 | Kellee Steele Murga | Clinical Nurse Specialist | 3201 Campus Dr, Klamath Falls, OR 97601-8801 | 2008-12-10 |
| 1285843813 | Oregon Institute of Technology Student Health Center | Clinic/Center | 3201 Campus Dr, Se 115, Klamath Falls, OR 97601-8801 | 2007-05-21 |
| 1245359033 | Oregon Institute of Technology | Student in an Organized Health Care Education/Training Program | 3201 Campus Dr, Dental Hygiene Clinic, Klamath Falls, OR 97601-8801 | 2007-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205487311 | Socorro Guadalupe Alcala- Peres | Case Manager/Care Coordinator | 2210 N El Dorado Ave, Klamath Falls, OR 97601 | 2019-09-20 |
| 1033760053 | Melissa Ann Roy | Counselor | 2210 North El Dorado, 2210 North El Dorado, Klamath Falls, OR 97601 | 2019-09-20 |
| 1134699721 | Kristin Asta Ragnarsson | Speech-Language Pathologist | Plum Ridge Care 1401 Bryant Williams, Klamath Falls, OR 97601 | 2018-11-27 |
| 1730667445 | Nancy Leota Baley | Pharmacist | Sky Lakes Outpatient Pharmacy, 2865 Daggett Street, Klamath Falls, OR 97601 | 2018-08-03 |
| 1336511260 | Patricia Blauvelt | Occupational Therapy Assistant | 1401 Bryant Williams Dr, Klamath Falls, OR 97601 | 2015-10-30 |
| 1598160814 | Christopher S. Turner | Counselor | 635 Main St., Klamath Falls, OR 97601 | 2014-10-29 |
| 1134472582 | Whole Person Care Family Practice | Family Medicine | 2301 Mountainview Blvd. Ste B, Klamath Falls, OR 97601 | 2012-10-23 |
| 1255692687 | Billy Dean Vermaas | Physical Medicine & Rehabilitation | 204 N. 10th Street, Klamath Falls, OR 97601 | 2012-06-01 |
| 1407140700 | Wendell C Heidinger Md | Family Medicine | 2301 Clairmont Drive, Klamath Falls, OR 97601 | 2011-06-03 |
| 1740573146 | Klamath Youh Department Center | Community/Behavioral Health | 2210 Eldordo Ave, Klamath Falls, OR 97601 | 2011-05-18 |
| Find all providers in zip 97601 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669853487 | Klamath Smiles, LLC | Clinic/Center | 2301 Mountain View Blvd Ste D, Klamath Falls, OR 97601-1137 | 2015-06-17 |
| 1780741884 | Jeffrey A. Englestadter, Dmd, PC | Clinic/Center | 2800 Foothills Blvd, Klamath Falls, OR 97603-3768 | 2007-01-02 |
| 1427574136 | Shasta Family Dental | Clinic/Center | 2504 Shasta Way, Klamath Falls, OR 97601-4356 | 2017-08-15 |
| 1700245339 | Andrew J Smith Dmd | Clinic/Center | 2200 Bryant Williams Dr, Klamath Falls, OR 97601-1120 | 2016-02-10 |
| 1013399641 | Mark Davis, Dds PC | Clinic/Center | 2301 Mountain View Blvd Ste D, Klamath Falls, OR 97601-1137 | 2015-06-19 |
| 1558754820 | Millard Dental LLC | Clinic/Center | 2650 Washburn Way, Ste 200, Klamath Falls, OR 97603-4596 | 2015-03-11 |
| 1932266020 | Michael C. Thomas, Dmd, PC | Clinic/Center | 2800 Foothills Blvd, Klamath Falls, OR 97603-3768 | 2007-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144834375 | Geoffrey R Clive Dds LLC | Clinic/Center | 11082 Se Oak St, Milwaukie, OR 97222-6692 | 2020-09-04 |
| 1508416041 | Columbia River Dentistry-gresham, LLC | Clinic/Center | 1700 Nw Civic Dr Ste 320, Gresham, OR 97030-3774 | 2019-09-17 |
| 1063065068 | Portland Dental Smiles | Clinic/Center | 732 Sw 3rd Ave Ste 202, Portland, OR 97204-2409 | 2019-07-18 |
| 1104478619 | David A Allen Dds | Clinic/Center | 1059 Royal Ave, Medford, OR 97504-6127 | 2019-07-15 |
| 1750933917 | Multnomah County | Clinic/Center | 11540 Ne Inverness Dr., Inverness Jail, Portland, OR 97220 | 2019-07-09 |
| 1164080875 | Central Point Dental LLC | Clinic/Center | 12338 Se 143rd Pl, Happy Valley, OR 97086-6545 | 2019-05-29 |
| 1285193003 | Hazelnut Dental LLC | Clinic/Center | 10773 Sw Beaverton-hillsdale Hwy, Ste B, Beaverton, OR 97005 | 2019-03-19 |
| 1558839498 | Kevin Prates Dds, PC | Clinic/Center | 1002 10th St Ste 1, Hood River, OR 97031-1564 | 2018-11-08 |
| 1063993749 | Roots Dental Stark LLC | Clinic/Center | 16338 Se Stark St, Portland, OR 97233-3958 | 2018-08-22 |
| 1528546330 | Christopher Brady Dmd LLC | Clinic/Center | 4707 Ne 102nd Ave Ste A, Portland, OR 97220-3393 | 2018-08-02 |
| Find all providers with the same taxonomy | ||||
| City | KLAMATH FALLS |
| Zip Code | 97601 |
Please comment or provide details below to improve the information on OREGON INSTITUTE OF TECHNOLOGY.
| 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.