MRS. AUDREY BETH MILAM (NPI# 1114252970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114252970 |
| Entity Type | Individual |
| Full Name | MRS. AUDREY BETH MILAM |
| Credential | RDH |
| Practice Address |
12575 Sw 3rd St Beaverton OR 97005-0517 |
| Practice Telephone | 5036447697 |
| Practice Fax Number | 5036264618 |
| Mailing Telephone | 5036447697 |
| Mailing Fax Number | 5036264618 |
| Enumeration Date | 2009-10-13 |
| Last Update Date | 2009-10-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | H5642 | OR | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447874144 | Audrey Milam | Behavior Technician | 3601 Sw 2nd Ave Ste U, Gainesville, FL 32607-2802 | 2020-05-29 |
| Street Address |
12575 SW 3RD ST |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97005-0517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508068347 | Kelly R. Thomas | Dentist | 12575 Sw 3rd St, Beaverton, OR 97005-0517 | 2007-06-04 |
| 1942510458 | Mazyar Afshar | Dentist | 12575 Sw 3rd St, Beaverton, OR 97005-0517 | 2010-10-18 |
| 1447589452 | Thomas Family Dentistry | Clinic/Center | 12575 Sw 3rd St, Beaverton, OR 97005-0517 | 2009-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945053 | Krista Lowe Schimmelbusch | Student in an Organized Health Care Education/Training Program | 12730 Sw 3rd St., Beaverton, OR 97005 | 2020-06-05 |
| 1346882578 | Mireya Elissa Nunez I | Counselor | 12665 Sw Center Street, Suite 100, Beaverton, OR 97005 | 2019-10-09 |
| 1548816879 | Logan James Patzlaff | Behavior Technician | 6200 Sw Artic Drive Beaverton, Or 97005, Beaverton, OR 97005 | 2019-08-13 |
| 1528521424 | Alex Taylor Foerman | Behavior Technician | 6200 Sw Arctic Drive Beaverton, Or 97005, Beaverton, OR 97005 | 2019-04-09 |
| 1285193003 | Hazelnut Dental LLC | Clinic/Center | 10773 Sw Beaverton-hillsdale Hwy, Ste B, Beaverton, OR 97005 | 2019-03-19 |
| 1992286348 | Kathryn Wallner | Counselor | 14205 Sw Farmington Road, Suite 160, Beaverton, OR 97005 | 2018-08-23 |
| 1699265058 | Meaghan Mikulic | Social Worker | 14355 Sw Allen Blvd Suite 150, Beaverton, OR 97005 | 2018-05-11 |
| 1629568936 | Aimee J Nelson | Massage Therapist | 10700 Sw Beaverton Hillsdale Hwy Ste 465, Beaverton, OR 97005 | 2018-05-11 |
| 1093221780 | Ember Dahl | Massage Therapist | 12655 Sw Center St Ste 530, Beaverton, OR 97005 | 2017-12-18 |
| 1033667456 | Andre Vo | Pharmacist | 2575 Sw Walker Rd, Beaverton, OR 97005 | 2016-09-14 |
| Find all providers in zip 97005 | ||||
| Taxonomy Code | 124Q00000X |
| Grouping | Dental Providers |
| Classification | Dental Hygienist |
| An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730789439 | Carlin Chung | Dental Hygienist | 8839 Sw Amicus Ter, Beaverton, OR 97007-9045 | 2020-10-30 |
| 1376090589 | Mitra Gaspeed | Dental Hygienist | 8615 Sw Thoroughbred Pl, Beaverton, OR 97008-7200 | 2016-09-06 |
| 1922555432 | Frank Wesley Ohmes | Dental Hygienist | 3280 Sw 170th Ave Apt 604, Beaverton, OR 97003 | 2016-09-01 |
| 1508311424 | Mitra Gaspeed | Dental Hygienist | 8615 Sw Thoroughbred Pl., Beaverton, OR 97008 | 2016-08-20 |
| 1558713909 | Jennifer Sumega | Dental Hygienist | 7173 Sw Manor Way Unit A, Beaverton, OR 97078-4229 | 2016-07-11 |
| 1962852772 | Jody Lynn Wolf | Dental Hygienist | 4095 Sw 144th Ave, Beaverton, OR 97005-2368 | 2016-06-13 |
| 1487022059 | Cam Bamford | Dental Hygienist | 764 Sw 198th Pl, Beaverton, OR 97003-2075 | 2015-09-12 |
| 1619351152 | Karen Boteilho | Dental Hygienist | 18248 Sw Ewen Dr, Beaverton, OR 97003-3847 | 2015-07-15 |
| 1497147185 | Roxane Tuntland | Dental Hygienist | 1275 Sw 158th Ave, Beaverton, OR 97006-6043 | 2015-03-04 |
| 1235538323 | Roseana Virginia Granado | Dental Hygienist | 16085 Nw Harriet Ct, Beaverton, OR 97006-7208 | 2014-08-14 |
| Find all providers in BEAVERTON | ||||
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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.