DR. THOMAS THANH TIEU (NPI# 1104901040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104901040 |
Entity Type | Individual |
Full Name | DR. THOMAS THANH TIEU |
Credential | DMD |
Practice Address |
3620 Ne 122nd Ave Portland OR 97230-1365 |
Practice Telephone | 5032545575 |
Practice Fax Number | 5032542161 |
Mailing Telephone | 5032545575 |
Mailing Fax Number | 5032542161 |
Enumeration Date | 2006-10-26 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
D7324 | OR | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OR | OREGON STATE LICENSE | D7324 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396008892 | Thomas Tieu | Urology | 2315 8th St, Lewiston, ID 83501-7301 | 2012-06-19 |
Street Address |
3620 NE 122ND AVE |
City | PORTLAND |
State | OR |
Zip Code | 97230-1365 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588617658 | Fang Kun Chen | Acupuncturist | 3620 Ne 122nd Ave, Suite D, Portland, OR 97230-1365 | 2006-05-18 |
1649507617 | Oregon Physical Therapy & Sports | Clinic/Center | 3620 Ne 122nd Ave, Suite C, Portland, OR 97230-1365 | 2009-11-11 |
1215101555 | Leonardo Tony Porreco | Physical Therapist | 3620 Ne 122nd Ave, Suite C, Portland, OR 97230-1365 | 2008-04-17 |
1174797690 | Chen's Acupuncture Center, P.C. | Acupuncturist | 3620 Ne 122nd Ave, Suite D, Portland, OR 97230-1365 | 2008-04-16 |
1700912235 | The Oregon Physical Therapy & Sports Medicine Center | Physical Therapist | 3620 Ne 122nd Ave, Suite C, Portland, OR 97230 | 2007-02-26 |
1295811180 | Parkrose Family Dentistry, P.C. | Dentist | 3620 Ne 122nd Ave, Portland, OR 97230-1365 | 2006-10-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932687233 | Timisha K Wilson | Social Worker | 12505 Ne Halsey St, Portland, OR 97230 | 2018-07-30 |
1356828768 | Sally Gail Logan | Pharmacist | 5725 Ne 138th Avenue, Portland, OR 97230 | 2018-07-27 |
1063937951 | Marley Elizabeth Small | Counselor | 1507 Ne 122nd Ave., Portland, OR 97230 | 2017-08-11 |
1447771316 | Shadab Nasreen Aijazi | Pathology | 5220 Ne 122nd Avenue, Portland, OR 97230 | 2017-06-30 |
1104378199 | Derek Andrus | Pharmacist | 5717 Nw 138th, Portland, OR 97230 | 2016-10-26 |
1164972675 | Rachael Anderson | Adult Companion | 423 Ne 160th Ave #11, Portland, OR 97230 | 2016-10-07 |
1750837597 | Providence Elderplace | Assisted Living Facility | 16430 Ne Hoyt St, Portland, OR 97230 | 2016-08-31 |
1649622473 | Sara Mcgroarty | Counselor | 17710 Ne Halsey Street, Portland, OR 97230 | 2016-07-05 |
1346699949 | Steven D Stanton | Counselor | 1022 Ne 181st Ave, C1, Portland, OR 97230 | 2016-06-06 |
1215390091 | The Wallace Medical Concern | Clinic/Center | 18139 Ne Couch Street, Portland, OR 97230 | 2016-03-30 |
Find all providers in zip 97230 |
Taxonomy Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
Notes: Source: Academy of General Dentistry |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760097034 | Hannah Glazunov | Dentist | 4970 S Landing Dr Unit 302, Portland, OR 97239-5900 | 2020-09-13 |
1093345159 | Ashley Bennett Dds, LLC | Dentist | 5415 Sw Westgate Dr Ste 202, Portland, OR 97221-2429 | 2020-01-17 |
1841844354 | Carly K Christoferson | Dentist | 1616 Sw Sunset Blvd Ste A, Portland, OR 97239-2641 | 2019-08-01 |
1083279384 | Timber Dental Downtown LLC | Dentist | 310 Sw 4th Ave Ste 100, Portland, OR 97204-2345 | 2019-05-02 |
1780140715 | Timber Dental East Burnside | Dentist | 1200 Se Sandy Blvd, Portland, OR 97214-1347 | 2019-02-14 |
1548726581 | Timber Dental Bethany | Dentist | 15715 Nw Central Dr Ste 7-8, Portland, OR 97229-1267 | 2019-02-14 |
1124583208 | Portland Dental LLC | Dentist | 511 Sw 10th Ave Ste 1206, Portland, OR 97205-2713 | 2019-02-04 |
1245701465 | Jeffrey Levitt Brady | Dentist | 10060 E Burnside St, Portland, OR 97216-2334 | 2018-12-16 |
1780166918 | Daniel Alejandro Mesa | Dentist | 2038 Lloyd Ctr # H317, Portland, OR 97232-1309 | 2018-09-04 |
1093293375 | Trusha B Patel | Dentist | 3801 N Interstate Ave, Portland, OR 97227-1109 | 2018-07-30 |
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.