DR. JULIE ANN SMITH (NPI# 1972588374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972588374 |
Entity Type | Individual |
Full Name | DR. JULIE ANN SMITH |
Credential | DDS, MD |
Practice Address |
8931 Se Foster Rd Portland OR 97266-4661 |
Mailing Address |
6950 Ne Campus Way Hillsboro OR 97124-5611 |
Practice Telephone | 8554336825 |
Mailing Telephone | 8554336825 |
Enumeration Date | 2005-12-08 |
Last Update Date | 2018-11-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
D9062 | OR | Dental Providers |
N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DS029168L | PA | Dental Providers |
N | 204E00000X | Oral & Maxillofacial Surgery | MD28633 | OR | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | 5055744 | 05 | |
OR | 006844 | 05 | |
ID | 808003900 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
405 Se 133rd Ave, Portland, OR 972331809 | 8554336825 |
Street Address |
8931 SE FOSTER RD |
City | PORTLAND |
State | OR |
Zip Code | 97266-4661 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588147490 | Alissa Fields Chiropractic, LLC | Chiropractor | 8931 Se Foster Rd, Portland, OR 97266-4661 | 2018-09-07 |
1053764910 | Estrellita Gitzen Ramirez | Dentist | 8931 Se Foster Rd, Portland, OR 97266-4661 | 2016-07-15 |
1457791592 | Kyle Andrew Malloy | Dentist | 8931 Se Foster Rd, Portland, OR 97266-4661 | 2013-07-03 |
1841585593 | Raymond Bernard Tucker | Dentist | 8931 Se Foster Rd, Portland, OR 97266-4661 | 2011-06-10 |
1568761344 | Young East Asian Medicine, LLC | Clinic/Center | 8931 Se Foster Rd, Suite 102, Portland, OR 97266-4661 | 2011-03-20 |
1962634857 | Dixie L.y. Small | Acupuncturist | 8931 Se Foster Rd, Ste 102, Portland, OR 97266-4661 | 2009-08-11 |
1427102276 | Tracy Herion | Dentist | 8931 Se Foster Rd, Portland, OR 97266-4661 | 2007-01-22 |
1164595930 | Rajiv Ramchandra Paonaskar | Dentist | 8931 Se Foster Rd, Portland, OR 97266-4661 | 2006-11-17 |
1033213657 | Thao Minhphoung Chu | Dentist | 8931 Se Foster Rd, Portland, OR 97266-4661 | 2006-09-12 |
1841250545 | Robert Smith | Dentist | 8931 Se Foster Rd, Portland, OR 97266-4661 | 2006-03-25 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528545969 | Willamette Pharmacy | Pharmacy | 10209 Se Division Build B Ste 100, Portland, OR 97266 | 2018-07-27 |
1992204697 | Sober Living Oregon Treatment Center | Clinic/Center | 10209 Se Division, Portland, OR 97266 | 2018-02-08 |
1699204024 | Malori Christine Butler | Registered Nurse | 7335 Se 85th Ave., Portland, OR 97266 | 2017-06-08 |
1487028882 | Emil Kunkel | Naturopath | 6318 Se 87th Ave, Portland, OR 97266 | 2015-11-23 |
1194195313 | Cory Hall-martin | Counselor | 10011 Se Division St #305, Portland, OR 97266 | 2015-09-30 |
1336517721 | Krispin Mayfield | Counselor | 10011 Se Division St., Suite 203, Portland, OR 97266 | 2015-09-02 |
1407247927 | Syrena Nicholson | Community Health Worker | 7721 Se 92nd Avenue, Apt K, Portland, OR 97266 | 2015-02-06 |
1659777886 | Berhanu Aynalem Mekbib | Adult Companion | 9125 Sw 55th, El Dorado, Portland, OR 97266 | 2014-11-17 |
1871930685 | Felicitas Amelia Penaloza | Behavioral Analyst | 9911 Se Mt.scott Boulevard, Portland, OR 97266 | 2013-06-03 |
1710237326 | Janna Renee Higgins | Case Manager/Care Coordinator | 9911 Se Mt. Scott Boulevard, Portland, OR 97266 | 2012-09-12 |
Find all providers in zip 97266 |
Taxonomy Code | 1223S0112X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Oral and Maxillofacial Surgery |
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356662845 | Baber Nazir Khatib | Dentist | 1849 Nw Kearney St Ste 300, Portland, OR 97209-1453 | 2010-06-18 |
1780728998 | Normund Karl Auzins | Dentist | 3549 N Lombard St, Portland, OR 97217-5901 | 2007-02-19 |
1962412312 | Steven Wayne Beadnell | Dentist | 11786 Sw Barnes Rd Ste 110, Portland, OR 97225-5926 | 2006-08-08 |
1639103658 | Columbia Park Oral Surgery PC | Dentist | 3549 N Lombard, Portland, OR 97217-5901 | 2006-07-10 |
1881674042 | Kim K Erickson | Dentist | 511 10th Ave Suite 808, Portland, OR 97205-4661 | 2006-01-21 |
1871571711 | Daniel Joseph Traub | Dentist | 131 Johnson Rd Suite 3, Portland, ME 04102 | 2006-01-01 |
1952717084 | Maine Coast Oral Surgery | Dentist | 1601 Congress St, Portland, ME 04102-2102 | 2014-07-09 |
1740695527 | Adam Peter Fagin | Dentist | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2014-06-30 |
1073928289 | Nadir Elias | Dentist | 1849 Nw Kearney St Ste 300, Portland, OR 97209-1453 | 2014-06-25 |
1821352238 | Caitlin Barstow Low Magraw | Dentist | 1849 Nw Kearney St Ste 300, Portland, OR 97209-1453 | 2012-06-29 |
Find all providers in PORTLAND |
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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.