ANTONINA KUTSAR (NPI# 1083102248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083102248 |
| Entity Type | Individual |
| Full Name | ANTONINA KUTSAR |
| Practice Address |
7201 N Interstate Ave Portland OR 97217-5523 |
| Mailing Address |
8613 Ne 97th Ct Vancouver WA 98662-4227 |
| Practice Telephone | 5032866860 |
| Mailing Telephone | 3609498409 |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2018-04-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | 121171 | OR | Dental Providers |
| Street Address |
7201 N INTERSTATE AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97217-5523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831113646 | David Russell Hill | Dentist | 7201 N Interstate Ave, Portland, OR 97217-5523 | 2006-07-26 |
| 1336703198 | Vanessa Joan Grant | Dental Assistant | 7201 N Interstate Ave, Portland, OR 97217-5523 | 2019-04-26 |
| 1245728427 | Kerri Logue | Dental Assistant | 7201 N Interstate Ave, Portland, OR 97217-5523 | 2018-04-24 |
| 1881146165 | Kaiser Foundation Health Plan of The Northwest | Dentist | 7201 N Interstate Ave, Portland, OR 97217-5523 | 2016-11-02 |
| 1194172239 | Cindy Brooke Firman | Dietitian, Registered | 7201 N Interstate Ave, Portland, OR 97217-5523 | 2016-05-18 |
| 1861846578 | Soroush Amali | Dentist | 7201 N Interstate Ave, Portland, OR 97217-5523 | 2016-04-19 |
| 1699154302 | Nancy Graham | Dietitian, Registered | 7201 N Interstate Ave, Portland, OR 97217-5523 | 2015-05-27 |
| 1003206236 | Melissa Dawn Hill | Counselor | 7201 N Interstate Ave, Portland, OR 97217-5523 | 2015-01-26 |
| 1831506815 | Robert Wilson | Dietetic Technician, Registered | 7201 N Interstate Ave, Portland, OR 97217-5523 | 2014-07-22 |
| 1053669838 | Katarzyna Teegarden | Dental Hygienist | 7201 N Interstate Ave, Portland, OR 97217-5523 | 2012-08-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326531666 | Working Class Medicine LLC | Clinic/Center | 2133 N. Willis Blvd, Studio D, Portland, OR 97217 | 2018-06-12 |
| 1235643602 | Autism Outreach of Oregon | Occupational Therapist | 10350 N Vancouver Way #1043, Portland, OR 97217 | 2017-11-21 |
| 1689183717 | Kai-uwe H. Hahn Dmd Dba Edelweiss Dental | Clinic/Center | 3503 N Lombard Street, Portland, OR 97217 | 2017-09-20 |
| 1407308125 | Occupational Health Centers of The Southwest, P.a. (tx) | Clinic/Center | 3449 N Anchor Street, Ste 300a, Portland, OR 97217 | 2016-10-28 |
| 1750740577 | Sheila Amoo | Adult Companion | 236 N Killingworth St. Apt.b104, Portland, OR 97217 | 2016-02-22 |
| 1801282199 | Justine Osborn | Specialist | 4310 N. Interstate Ave, Portland, OR 97217 | 2015-04-13 |
| 1578957742 | Paul Buck Md, Dds, PC | Clinic/Center | 3332 N Lombard St, Suite C, Portland, OR 97217 | 2015-03-25 |
| 1295158186 | Rebecca Bulleri | Massage Therapist | 5416 N. Maryland Ave, Portland, OR 97217 | 2014-01-28 |
| 1659793107 | Shellmire Unlimited, P.C. | Community/Behavioral Health | 4134 N Vancouver Avenue, Suite 102, Portland, OR 97217 | 2014-01-16 |
| 1417207994 | Sportland Acupuncture LLC | Acupuncturist | 1025 N Humboldt, Portland, OR 97217 | 2012-09-12 |
| Find all providers in zip 97217 | ||||
| Taxonomy Code | 126800000X |
| Grouping | Dental Providers |
| Classification | Dental Assistant |
| An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821616970 | Miryam Gallardo | Dental Assistant | 216 Se 162nd Ave Apt 38, Portland, OR 97233-3839 | 2020-07-06 |
| 1366911521 | Falasteen Adel | Dental Assistant | 1346 Ne 134th Ave, Portland, OR 97230-3211 | 2018-11-16 |
| 1730449893 | Tammy Loraine Rongone | Dental Assistant | 822 N.e. 181st. Ave, Portland, OR 97230-6708 | 2012-05-23 |
| 1205101201 | Patrick Stevens Edwards | Dental Assistant | 8728 N Haven Ave, Portland, OR 97203-3426 | 2012-03-09 |
| 1548464258 | Julie Rose Jennings | Dental Assistant | 11732 Se Malden Ct, Portland, OR 97266-8101 | 2007-06-14 |
| 1750594164 | Christine Marie Hassing | Dental Assistant | 10102 Ne Glisan, Portland, OR 97220 | 2007-05-08 |
| 1598835423 | Alona Elizabeth Polecastro | Dental Assistant | 4512 Se Woodstock, Portland, OR 97206 | 2006-11-08 |
| 1285724021 | Rachael Annette Chambers | Dental Assistant | 7201 N Interstate, North Interstate Dental, Portland, OR 97217-5523 | 2006-10-13 |
| 1760584809 | Wanessa Chambers | Dental Assistant | 5319 Ne Killingsworth St, Portland, OR 97218-2400 | 2006-09-01 |
| 1407963127 | Christina A Robledo | Dental Assistant | North Interstate Dental, 7201 N Interstate, Portland, OR 97217-5523 | 2006-08-25 |
| 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.