DENTAL OUTREACH OREGON (NPI# 1841441904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841441904 |
| Entity Type | Organization |
| Organization Name | DENTAL OUTREACH OREGON |
| Practice Address |
4707 Sw Kelly Ave Suite 205 Portland OR 97239-4252 |
| Practice Telephone | 5032951201 |
| Mailing Telephone | 5032951201 |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2008-10-08 |
| Authorized Official Name | MRS. TONIA KENNEDY AYRES (SECRETARY) |
| Authorized Official Telephone | 5032951201 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223D0001X |
Dentist Specialization: Dental Public Health |
Dental Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | DENTAL OUTREACH OREGON | 1711 Se 26th Dr, Gresham, OR 97080 |
| Street Address |
4707 SW KELLY AVE SUITE 205 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97239-4252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336312826 | Sarah Ann Ward | Marriage & Family Therapist | 4707 Sw Kelly Ave, Suite 202, Portland, OR 97239-4252 | 2008-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558979468 | Elise Caitlin Esposito | Student in an Organized Health Care Education/Training Program | 3710 Sw U.S. Veterans Hospital Road, Dental Service P-3 Dent, Attn: Elise Esposito, Portland, OR 97239 | 2020-07-16 |
| 1750908844 | Will Cowan | Student in an Organized Health Care Education/Training Program | 455 Sw Us Veterans Hospital Road., Portland, OR 97239 | 2020-07-06 |
| 1881219657 | Desiree Baer | Licensed Vocational Nurse | Sw Us Veterans Hospital Rd, Portland, OR 97239 | 2020-06-08 |
| 1285266205 | Melissa Irene Wheeler | Registered Nurse | Uhs-8l, 3181 S.w. Sam Jackson Park Road, Portland, OR 97239 | 2020-02-07 |
| 1225687981 | Pheba Mariam Jones | Pharmacist | Ohsu Pharmacy At Chh Building 2, 3303 Sw Bond Ave Rm 1090, Portland, OR 97239 | 2019-09-05 |
| 1801448063 | Alice Huang Huang | Student in an Organized Health Care Education/Training Program | 3710 Sw Veterans Road, Portland, OR 97239 | 2019-07-09 |
| 1710446273 | Ellen Noreen Kessi | Social Worker | 3710 Sw Us Veterans Rd., Portland, OR 97239 | 2019-03-14 |
| 1508335704 | Jacqueline Marie Mular | Marriage & Family Therapist | 5550 Sw Macadam Suite 100, Portland, OR 97239 | 2018-11-16 |
| 1275030926 | Carly Elizabeth Dougher | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd., Portland, OR 97239 | 2018-04-10 |
| 1780188094 | Dennis John Samuel | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd. L-579, Portland, OR 97239 | 2018-03-21 |
| Find all providers in zip 97239 | ||||
| Taxonomy Code | 1223D0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dental Public Health |
| The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477616720 | Jia Lin Goh | Dentist | 2403 Se Monroe St Ste F, Portland, OR 97222-7646 | 2006-12-18 |
| 1174979934 | Native American Rehabilitation Association Northwest, Inc. | Dentist | 12750 Se Stark St, Building E, Portland, OR 97233-1539 | 2016-05-11 |
| 1710002324 | City of Portland Maine Hhs, Phd | Dentist | 389 Congress St, Room 307, Portland, ME 04101-3509 | 2007-03-20 |
| 1063591931 | Alexander Gregory Brodsky | Dentist | 3653 Se 34th Ave, Portland, OR 97202-3034 | 2006-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427603968 | County of Tillamook | Dentist | 1925 Suppress Rd N, Tillamook, OR 97141-9296 | 2019-08-01 |
| 1184289845 | Bdg Dental LLC | Dentist | 901 Nw Carlon Ave Apt 1, Bend, OR 97703-2636 | 2019-05-07 |
| 1851878235 | Gregory A Shook | Dentist | 2575 Center Street Ne, Salem, OR 97301-4667 | 2018-07-27 |
| 1730341975 | County of Tillamook | Dentist | 34325 Highway 101 S, Cloverdale, OR 97112-9400 | 2008-06-30 |
| 1639291008 | Todd Michael Schroeder | Dentist | 13 Ne 5th Ave, Milton Freewater, OR 97862-1701 | 2007-04-04 |
| 1104948579 | Norman Dean Saager | Dentist | 508 E Broadway Ave, Milton Freewater, OR 97862-1315 | 2007-04-04 |
| 1477613636 | Cynthia Rachel Varro | Dentist | 3617 S Pacific Highway, Medford, OR 97501 | 2006-12-11 |
| 1184703324 | Athena Marie Bettger | Dentist | 600 Ne 8th, Dental Clinic, Gresham, OR 97030 | 2006-11-06 |
| 1083600712 | Bc Nelson | Dentist | 470 E Washington St, Stayton, OR 97383-1837 | 2005-09-27 |
| 1417568668 | County of Tillamook | Dentist | 805 Ivy Ave Ste B, Tillamook, OR 97141-3758 | 2020-08-12 |
| Find all providers with the same taxonomy | ||||
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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.