ROSE BOOTH (NPI# 1083187967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083187967 |
| Entity Type | Individual |
| Full Name | ROSE BOOTH |
| Practice Address |
10209 Se Sunnyside Rd Clackamas OR 97015-9782 |
| Practice Telephone | 5033533900 |
| Enumeration Date | 2019-01-03 |
| Last Update Date | 2019-01-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | Dental Providers |
| Street Address |
10209 SE SUNNYSIDE RD |
| City | CLACKAMAS |
| State | OR |
| Zip Code | 97015-9782 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184640062 | Harold Dean Geist | Dentist | 10209 Se Sunnyside Rd, Clackamas, OR 97015-9782 | 2006-07-14 |
| 1356972921 | Shi Li Luo | Dental Hygienist | 10209 Se Sunnyside Rd, Clackamas, OR 97015-9782 | 2020-01-31 |
| 1083256630 | Laura Ann Schaffner | Dental Hygienist | 10209 Se Sunnyside Rd, Clackamas, OR 97015-9782 | 2019-10-15 |
| 1205487329 | Sylvia Hill | Dental Assistant | 10209 Se Sunnyside Rd, Clackamas, OR 97015-9782 | 2019-09-20 |
| 1912557117 | Jessica Elaine Shelnutt | Dentist | 10209 Se Sunnyside Rd, Clackamas, OR 97015-9782 | 2019-09-19 |
| 1043783913 | Jessica Nicole Hughes | Dental Assistant | 10209 Se Sunnyside Rd, Clackamas, OR 97015-9782 | 2019-01-03 |
| 1588137459 | Erin Mccormack | Dental Assistant | 10209 Se Sunnyside Rd, Clackamas, OR 97015-9782 | 2019-01-03 |
| 1356878771 | Stacey Irene Inloes | Dental Assistant | 10209 Se Sunnyside Rd, Clackamas, OR 97015-9782 | 2017-05-16 |
| 1619429842 | Kaiser Foundation Health Plan of The Northwest | Dentist | 10209 Se Sunnyside Rd, Clackamas, OR 97015-9782 | 2016-11-04 |
| 1235688474 | Tamie Resare | Dental Assistant | 10209 Se Sunnyside Rd, Clackamas, OR 97015-9782 | 2016-09-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184103517 | Laurel Perilli | Physical Therapist | 12550 Se 93rd Ave Ste 265, Clackamas, OR 97015 | 2018-08-07 |
| 1306324538 | Kristin Connor Messing | Physical Therapist | 4805 Ne Glisan St, Prov Hall 7e06, Portland, OR 97015 | 2018-07-31 |
| 1902317266 | Darcy Jones Hamrick | Counselor | 12901 Se 97th Ave., Suite 340, Clackamas, OR 97015 | 2017-10-13 |
| 1841723384 | Manon Lavoie | Chiropractor | 17105 Se Sunnyside Rd, Suite 148, Happy Valley, OR 97015 | 2017-04-11 |
| 1235670126 | Michael G Short | Pedorthist | 10117 Se Sunnyside Rd., Ste. H, Clackamas, OR 97015 | 2017-03-13 |
| 1487100756 | Michael Joseph Peizner | Pharmacist | 16300se Evelyn Street, Clackamas, OR 97015 | 2016-08-28 |
| 1316395619 | Jennifer Elaine Walkowski | Physical Therapist | 9100 Se Sunnyside Road, Clackamas, OR 97015 | 2016-05-26 |
| 1649635384 | Brookside Dental - Milwaukie, LLC | Dentist | 9225 Se Sunnyside Rd. Ste 1, Clackamas, OR 97015 | 2015-12-23 |
| 1801216130 | Robert D. Grew Dmd, Inc. | Dentist | 10163 Se Sunnyside Road, Suite 414, Clackamas, OR 97015 | 2014-04-25 |
| 1508205410 | Valerie P Tabalno | Massage Therapist | 15661 Se 82nd Dr, Clackamas, OR 97015 | 2013-06-25 |
| Find all providers in zip 97015 | ||||
| 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 |
|---|---|---|---|---|
| 1205487329 | Sylvia Hill | Dental Assistant | 10209 Se Sunnyside Rd, Clackamas, OR 97015-9782 | 2019-09-20 |
| 1043783913 | Jessica Nicole Hughes | Dental Assistant | 10209 Se Sunnyside Rd, Clackamas, OR 97015-9782 | 2019-01-03 |
| 1588137459 | Erin Mccormack | Dental Assistant | 10209 Se Sunnyside Rd, Clackamas, OR 97015-9782 | 2019-01-03 |
| 1356878771 | Stacey Irene Inloes | Dental Assistant | 10209 Se Sunnyside Rd, Clackamas, OR 97015-9782 | 2017-05-16 |
| 1235688474 | Tamie Resare | Dental Assistant | 10209 Se Sunnyside Rd, Clackamas, OR 97015-9782 | 2016-09-29 |
| 1811314461 | Misty Wilcox | Dental Assistant | 10209 Se Sunnyside Rd, Clackamas, OR 97015-9782 | 2014-03-20 |
| 1053612143 | Katherine Ann Leggett | Dental Assistant | 10209 Se Sunnyside Rd, Clackamas, OR 97015-9782 | 2010-11-05 |
| 1962703058 | Rachel Helen Castaneda | Dental Assistant | 10209 Se Sunnyside Rd, Clackamas, OR 97015-9782 | 2010-11-05 |
| 1942441415 | Heidi Hunt | Dental Assistant | 10209 Se Sunnyside Rd, Clackamas, OR 97015-9782 | 2009-03-13 |
| 1710006697 | Daisy V Saechao | Dental Assistant | 10209 Se Sunnyside Rd, Clackamas, OR 97015-9782 | 2007-03-29 |
| Find all providers in CLACKAMAS | ||||
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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.