DR. HENRY COOKE WINDELL (NPI# 1063413722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063413722 |
Entity Type | Individual |
Full Name | DR. HENRY COOKE WINDELL |
Credential | DMD |
Practice Address |
24850 Se Stark St Gresham OR 97030-8316 |
Mailing Address |
24850 Se Stark St Gresham OR 97030-8317 |
Practice Telephone | 5036657882 |
Practice Fax Number | 5036656983 |
Mailing Telephone | 5036657882 |
Mailing Fax Number | 5036656983 |
Enumeration Date | 2005-08-03 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
D4283 | OR | Dental Providers |
Street Address |
24850 SE STARK ST |
City | GRESHAM |
State | OR |
Zip Code | 97030-8316 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164426110 | Julia W Mason | Pediatrics | 24850 Se Stark St, Suite 150, Gresham, OR 97030-8316 | 2005-06-08 |
1124575139 | Gretchen Ann Grooms | Massage Therapist | 24850 Se Stark St, Suite 200, Gresham, OR 97030-8316 | 2016-09-07 |
1770787681 | Renee Nicole Goodreau | Obstetrics & Gynecology | 24850 Se Stark St, Suite 200, Gresham, OR 97030-8316 | 2007-06-13 |
1629286273 | Northwest Oral & Maxillofacial Surgeons, LLC | Dentist | 24850 Se Stark St, Suite 100, Gresham, OR 97030-8316 | 2007-05-18 |
1164547634 | Jennifer Marie Boom | Massage Therapist | 24850 Se Stark St, Suite 200, Gresham, OR 97030-8316 | 2007-03-21 |
1063558807 | June Ellen Hobbs | Advanced Practice Midwife | 24850 Se Stark St, Suite 200, Gresham, OR 97030-8316 | 2007-01-29 |
1801968086 | Mt Hood Women's Health PC | Clinic/Center | 24850 Se Stark St, Suite 200, Gresham, OR 97030 | 2006-11-14 |
1427066554 | Kelly Annette Carter | Obstetrics & Gynecology | 24850 Se Stark St, Suite 200, Gresham, OR 97030-8316 | 2006-08-04 |
1982612024 | Michelle Cecile Champagne | Obstetrics & Gynecology | 24850 Se Stark St, Suite 200, Gresham, OR 97030-8316 | 2006-08-04 |
1841208972 | Sandra Ann Collis | Obstetrics & Gynecology | 24850 Se Stark St, Suite 200, Gresham, OR 97030-8316 | 2006-08-04 |
Find all providers in the same location |
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 | 1223P0106X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Oral and Maxillofacial Pathology |
The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629286273 | Northwest Oral & Maxillofacial Surgeons, LLC | Dentist | 24850 Se Stark St, Suite 100, Gresham, OR 97030-8316 | 2007-05-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093746174 | Southern Oregon Oral and Maxillofacial Surgeons | Dentist | 3162 State St, Medford, OR 97504-8450 | 2006-07-06 |
1669435806 | Bryan R. Harvey | Dentist | 331 Warner Milne Rd, Oregon City, OR 97045-4045 | 2006-04-10 |
1508827478 | Wei-yuhg Yih | Dentist | 611 Sw Campus Dr, Sd-515, Portland, OR 97239-3001 | 2006-03-30 |
1790229888 | Northwest Oral Pathology | Dentist | 12254 Sw Garden Pl, Tigard, OR 97223-8246 | 2016-12-08 |
1720044126 | Keith Edward Krueger | Dentist | 1475 Sw Chandler Ave, Suite 101, Bend, OR 97702-3238 | 2006-04-25 |
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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.