LORETTA EILEEN JOHNSON (NPI# 1780104737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780104737 |
| Entity Type | Individual |
| Full Name | LORETTA EILEEN JOHNSON |
| Practice Address |
4077 Ne 2nd St Gresham OR 97030-1711 |
| Practice Telephone | (503) 780-1510 |
| Mailing Telephone | 5037801510 |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2017-06-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | H2367 | OR | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508345745 | Loretta Johnson | Behavioral Analyst | 1164 Carey Dr, Concord, CA 94520-4336 | 2018-08-08 |
| 1467714568 | Loretta B Johnson | Home Health Aide | 4829 N Capitol St Ne, Apt 101, Washington, DC 20011-6748 | 2012-06-13 |
| 1912200692 | Loretta F Johnson | Physical Therapist | 7443 Kransburg Ranch Dr, Cypress, TX 77433-2124 | 2010-12-17 |
| Street Address |
4077 NE 2ND ST |
| City | GRESHAM |
| State | OR |
| Zip Code | 97030-1711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174032312 | Tiffany Chen | Occupational Therapist | 304 Ne Hood Ave., Gresham, OR 97030 | 2017-09-20 |
| 1225568454 | Goldstar Vascular Access, Inc | Home Infusion | 2870 Ne Hogan Dr, Ste E #205, Gresham, OR 97030 | 2017-06-20 |
| 1861940454 | Jessica Morrow | Massage Therapist | 1748 Nw Fairview Dr., Gresham, OR 97030 | 2016-09-13 |
| 1033665898 | Bonita Baxter | Counselor | 400 Ne 7th Street, Gresham, OR 97030 | 2016-08-31 |
| 1710335484 | Ethan William Hoccom | Counselor | 1527 Ne Lamesa Place 17th St, Gresham, OR 97030 | 2016-06-02 |
| 1992159610 | Kathleen Kline, Lmt | Massage Therapist | 1217 Ne Burnside Road Suite 701-d, Gresham, OR 97030 | 2016-04-19 |
| 1215390109 | The Wallace Medical Concern | Nurse Practitioner | 254 Nw Burnside Road, Gresham, OR 97030 | 2016-03-30 |
| 1932568912 | Atchison Dialysis, LLC | Clinic/Center | 878 Nw Burnside Rd, Gresham, OR 97030 | 2016-02-18 |
| 1912374034 | Hilary Dawn Montgomery | Counselor | 1326 Nw Civic Dr # 5569, Gresham, OR 97030 | 2015-08-24 |
| 1992171730 | Melissa E Childs | Massage Therapist | 1217 Nw Burnside Rd Ste 701, Gresham, OR 97030 | 2015-08-17 |
| Find all providers in zip 97030 | ||||
| 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 |
|---|---|---|---|---|
| 1598305765 | Gisela Zepeda | Dental Hygienist | 5851 Se Chase Rd, Gresham, OR 97080-8282 | 2020-01-15 |
| 1346784998 | Shan-ai Kwong | Dental Hygienist | 1261 Ne 27th St, Gresham, OR 97030-3033 | 2016-12-15 |
| 1215323779 | Emily Elizabeth Cooke | Dental Hygienist | 1511 Sw Chastain Ave, Gresham, OR 97080-9623 | 2015-04-11 |
| 1447590542 | Deborah Ann Beckman | Dental Hygienist | 3604 Se Powell Valley Rd, 136, Gresham, OR 97080-1606 | 2013-02-26 |
| 1821340795 | Jaime Majure | Dental Hygienist | 318 Ne Roberts Ave, #402, Gresham, OR 97030-7477 | 2012-10-02 |
| 1801173562 | Camille D Piersall | Dental Hygienist | 1711 Se 26th Dr, Gresham, OR 97080-5291 | 2011-11-09 |
| 1457636110 | Erica Michelle Lewis | Dental Hygienist | 1129 Ne Centurion Dr, Gresham, OR 97030-4562 | 2011-10-13 |
| 1184928384 | Tyler Kaady | Dental Hygienist | 1324 Sw Pleasant View Dr Apt 304, Gresham, OR 97080-5787 | 2011-01-03 |
| 1689974156 | Ilya Babiy | Dental Hygienist | 26000 Se Stark St, Gresham, OR 97030-3300 | 2010-10-29 |
| 1356677991 | Cheryl Renee Mcdaniel | Dental Hygienist | 90 Nw 2nd St, Gresham, OR 97030-7222 | 2009-11-01 |
| 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.