STEPHEN GORDON WOODYARD (NPI# 1013106681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013106681 |
| Entity Type | Individual |
| Full Name | STEPHEN GORDON WOODYARD |
| Credential | D.M.D.,M.S. |
| Practice Address |
1585 Sw Marlow Ave Portland OR 97225-5176 |
| Practice Telephone | 5032971444 |
| Mailing Telephone | 5032971444 |
| Enumeration Date | 2007-10-19 |
| Last Update Date | 2007-10-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
D4180 | OR | Dental Providers |
| Street Address |
1585 SW MARLOW AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97225-5176 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104826817 | Scott L. Strong | Dentist | 1585 Sw Marlow Ave, Suite 216, Portland, OR 97225-5176 | 2005-07-22 |
| 1750746004 | Nancy Borman, D.o., PC | Clinic/Center | 1585 Sw Marlow Ave, Site 200, Portland, OR 97225-5176 | 2015-12-30 |
| 1619345683 | Northwest Neuro-ophthalmology LLC | Psychiatry & Neurology | 1585 Sw Marlow Ave, Ste 110, Portland, OR 97225-5176 | 2015-09-09 |
| 1922487511 | Global Integrative Medical Solutions | Clinic/Center | 1585 Sw Marlow Ave, 200, Portland, OR 97225-5176 | 2015-05-28 |
| 1114319134 | Northwest Physical Therapy Care, LLC | Physical Therapist | 1585 Sw Marlow Ave, Portland, OR 97225-5176 | 2015-02-27 |
| 1245542752 | Natalia I Makarova | Dentist | 1585 Sw Marlow Ave, Ste 120, Portland, OR 97225-5176 | 2010-07-13 |
| 1699977785 | Oregon Pulmonary Associates, P.C. | Internal Medicine | 1585 Sw Marlow Ave, Suite 101, Portland, OR 97225-5176 | 2007-06-01 |
| 1760502546 | Vonny Ngantung | Dentist | 1585 Sw Marlow Ave, Suite 120, Portland, OR 97225-5176 | 2007-03-29 |
| 1962522532 | Wendell King | Dentist | 1585 Sw Marlow Ave, Suite 120, Portland, OR 97225-5176 | 2007-03-29 |
| 1215092986 | Dianna Lynn Henson | Naturopath | 1585 Sw Marlow Ave, Suite 200, Portland, OR 97225-5176 | 2006-12-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508425034 | Gabrielle Gonzales | Behavior Technician | 1675 Sw Marlow Ave, Suite 200, Portland, OR 97225 | 2019-06-08 |
| 1558844555 | Tate Roseberry | Behavior Technician | 1675 Sw Marlow Avenue, Suite 200, Portland, OR 97225 | 2018-09-14 |
| 1982186300 | Dean Alan Hopkins | Registered Nurse | 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225 | 2018-09-01 |
| 1316449168 | Surgery Center At St. Vincent, LLC | Clinic/Center | 9135 Sw Barnes Rd Ste 161, Portland, OR 97225 | 2018-03-07 |
| 1730606716 | Meghan Louise Lacy | Pediatrics | 11790 Sw Barnes Rd, Blg. A, Suite 140, Portland, OR 97225 | 2017-08-29 |
| 1841733433 | Tia Pugh | Occupational Therapist | 9155 S.w. Barnes Road, East Pavilion, Portland, OR 97225 | 2016-11-30 |
| 1295185585 | Stephanie Lynn Hart | Nurse Practitioner | 9155 Sw Barnes Rd Ste 240, Portland, OR 97225 | 2016-06-16 |
| 1962866244 | Bejian Shamloo | Chiropractor | 10200 Sw Eastridge St., Suite 235, Portland, OR 97225 | 2016-04-12 |
| 1992162630 | Robert Joseph Yoder | Psychologist | 9045 Barnes Rd, Portland, OR 97225 | 2016-01-26 |
| 1316303951 | Katie Herold | Chiropractor | 9315 Sw Morrison St, Portland, OR 97225 | 2016-01-12 |
| Find all providers in zip 97225 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871026062 | Leila Soltani | Dentist | 430 Sw 13th Ave Apt 2010, Portland, OR 97205 | 2017-04-05 |
| 1730632266 | Samar Shaikh | Dentist | 716 Stevens Ave # 204, Portland, ME 04103 | 2016-08-02 |
| 1730472986 | Wilson D Lee | Dentist | 315 Nw Lost Springs Ter, #401, Portland, OR 97229-6444 | 2011-05-20 |
| 1184954422 | Kamran Haghighat Bds Ms PC | Dentist | 833 Sw 11th Ave Ste 1020, Portland, OR 97205-2124 | 2010-01-08 |
| 1225292121 | Harjit Singh Sehgal | Dentist | 2730 Sw Moodey Ave, Clsb-5n034, Portland, OR 97201 | 2008-07-10 |
| 1467516211 | Chirgwin & Herriges, LLC | Dentist | 1130 Se 122nd Ave, Portland, OR 97233-1112 | 2006-12-19 |
| 1568534519 | Trang N Pham | Dentist | 10356 Ne Wasco St, Portland, OR 97220 | 2006-11-14 |
| 1811086887 | Winthrop B. Carter | Dentist | 611 Sw Campus Drive, Ohsu School of Dentistry, Sd 177, Portland, OR 97239 | 2006-10-11 |
| 1295828069 | Southern Maine Periodontal Assoc Pa | Dentist | 276 Canco Rd, Portland, ME 04103 | 2006-10-02 |
| 1598702151 | Angela Blizzard | Dentist | 7107 Sw Macadam Ave, Portland, OR 97219-3075 | 2006-06-01 |
| 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.