DR. ROBERT EUGENE STAFFORD (NPI# 1164630257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164630257 |
| Entity Type | Individual |
| Full Name | DR. ROBERT EUGENE STAFFORD |
| Credential | D.D.S. |
| Practice Address |
2020 Se 182nd Ave Portland OR 97233-5692 |
| Practice Telephone | 5036672400 |
| Practice Fax Number | 5034929723 |
| Mailing Telephone | 5036672400 |
| Mailing Fax Number | 5034929723 |
| Enumeration Date | 2007-05-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D4984 | OR | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | STATE LICENSE NUMBER | D4984 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326544495 | Robert Huntington Stafford | Physical Therapist | 1501 W Chisholm St, Alpena, MI 49707-1498 | 2018-04-05 |
| 1396957445 | Robert Holden Stafford | Psychiatry & Neurology | 910 Cook Rd, Orangeburg, SC 29118-2124 | 2007-05-03 |
| 1972526580 | Robert Mckinley Stafford IIi | Counselor | 72 Blue Ridge Ln, Burnsville, NC 28714-7270 | 2006-07-25 |
| Street Address |
2020 SE 182ND AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97233-5692 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477518637 | Max V Grishkevich | Internal Medicine | 2020 Se 182nd Ave, Portland, OR 97233-5692 | 2006-04-19 |
| 1407454564 | Thuy-anh Ngoc Vo | Dental Hygienist | 2020 Se 182nd Ave, Portland, OR 97233-5692 | 2020-10-12 |
| 1194343038 | Sara Dunbar | Registered Nurse | 2020 Se 182nd Ave, Portland, OR 97233-5692 | 2020-07-07 |
| 1699316968 | Lenin J. Aquino | Dentist | 2020 Se 182nd Ave, Portland, OR 97233-5692 | 2019-10-08 |
| 1811547219 | Emma Moore | Nurse Practitioner | 2020 Se 182nd Ave, Portland, OR 97233-5692 | 2019-09-17 |
| 1487156022 | Multnomah County | Clinic/Center | 2020 Se 182nd Ave, Portland, OR 97233-5692 | 2018-02-28 |
| 1871927301 | Mary Jepson | Registered Nurse | 2020 Se 182nd Ave, Portland, OR 97233-5692 | 2013-09-03 |
| 1336444967 | Cort Micah Dorn-medeiros | Counselor | 2020 Se 182nd Ave, Portland, OR 97233-5692 | 2011-01-12 |
| 1528372489 | Amanda Nicole Cort | Registered Nurse | 2020 Se 182nd Ave, Portland, OR 97233-5692 | 2010-08-03 |
| 1255645271 | Rockwood Health Clinic Pharmacy | Pharmacy | 2020 Se 182nd Ave, Portland, OR 97233-5692 | 2010-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205448164 | Moore Therapy Services, LLC | Behavioral Analyst | 2053 Se 181st Ave, Portland, OR 97233 | 2020-08-20 |
| 1427563733 | Central City Concern Inc | Clinic/Center | 1415 Se 122nd Ave, Portland, OR 97233 | 2017-12-08 |
| 1427573443 | Sunshine Ahc | In Home Supportive Care | 2217 Se 156th Ave, Portland, OR 97233 | 2017-08-10 |
| 1538609433 | Nathaniel Davis Jr. | Counselor | 8915 Se Center St, Tigard, OR 97233 | 2017-02-27 |
| 1154878627 | Oregon Outreach Inc | Case Management | 1740 South East 139th Avenue, Portland, OR 97233 | 2016-09-01 |
| 1023461019 | Julianne Baltzley | Counselor | 2409 Se 149th Avenue, Portland, OR 97233 | 2016-07-14 |
| 1710332143 | Emma Slater | Counselor | 12360 Se Burnside, Portland, OR 97233 | 2016-05-04 |
| 1245621952 | Gregory Brett Bledsoe | Counselor | 1427 Se 182nd Ave., Portland, OR 97233 | 2015-02-17 |
| 1396149852 | Jacqueline Bension | Counselor | 1705 Se 122nd Ave, Portland, OR 97233 | 2014-10-13 |
| 1700206950 | Olga I Zlatova I | Dental Hygienist | 325 Se 154th Ave, Portland, OR 97233 | 2014-04-25 |
| Find all providers in zip 97233 | ||||
| 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.