DR. JAY PRESTON MALMQUIST (NPI# 1275641284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275641284 |
| Entity Type | Individual |
| Full Name | DR. JAY PRESTON MALMQUIST |
| Credential | DMD |
| Practice Address |
5415 Sw Westgate Dr Suite #l-7 Portland OR 97221-2409 |
| Practice Telephone | 5032928824 |
| Practice Fax Number | 5032977810 |
| Mailing Telephone | 5032928824 |
| Mailing Fax Number | 5032977810 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
D4642 | OR | Dental Providers |
| Street Address |
5415 SW WESTGATE DR SUITE #L-7 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97221-2409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306843669 | Richard I. Park | Dentist | 5415 Sw Westgate Dr, Suite 207, Portland, OR 97221-2409 | 2005-07-01 |
| 1689912701 | Quayanna Marie Kane | Dental Hygienist | 5415 Sw Westgate Dr, Portland, OR 97221-2409 | 2013-01-24 |
| 1720387566 | Dan R Nafziger L P T P C | Clinic/Center | 5415 Sw Westgate Dr, Suite Ll3, Portland, OR 97221-2409 | 2011-03-18 |
| 1972770097 | Pediatric Dental Group | Dentist | 5415 Sw Westgate Dr, Suite 207, Portland, OR 97221-2409 | 2008-05-08 |
| 1215117734 | Dan Ray Nafziger | Physical Therapist | 5415 Sw Westgate Dr, Suite Ll3, Portland, OR 97221-2409 | 2007-11-13 |
| 1811046758 | Jukka J. Perkiomaki | Dentist | 5415 Sw Westgate Dr, 202, Portland, OR 97221-2409 | 2007-01-09 |
| 1841308863 | Stephen Patrick Clemens | Dentist | 5415 Sw Westgate Dr, Suite L-7, Portland, OR 97221-2409 | 2006-08-29 |
| 1821053521 | Roger Brent Lawrence | Dentist | 5415 Sw Westgate Dr, Suite 206, Portland, OR 97221-2409 | 2006-04-18 |
| 1538160973 | Steven John Scheffel | Dentist | 5415 Sw Westgate Dr, Ste. 206, Portland, OR 97221-2409 | 2005-08-09 |
| 1518964840 | David J. Cavano | Dentist | 5415 Sw Westgate Dr, Suite 207, Portland, OR 97221-2409 | 2005-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407460371 | Samantha Nozomi Murata | Pharmacist | 5415 Sw Beaverton Ct Hwy, Portland, OR 97221 | 2020-09-08 |
| 1063996312 | Maximilian Torres | Physical Therapy Assistant | 4602 Sw 53rd Ave, Portland, OR 97221 | 2018-09-22 |
| 1275071599 | Kayla Hoskins | Social Worker | 6443 Sw Beaverton Hillsdale Hwy Suite 300, Portland, OR 97221 | 2017-02-07 |
| 1467821520 | Tam Nguyen | Pharmacist | 5431 Sw Beaverton Hillsdale, Portland, OR 97221 | 2015-09-18 |
| 1124494786 | Laine Towell | Psychologist | 6443 Sw Beaverton Hillsdale Hwy Ste 300, Portland, OR 97221 | 2015-08-18 |
| 1376936633 | Patricia A. Lolich-beyer | Counselor | 5201 Sw Westgate Dr., Suite 118, Portland, OR 97221 | 2015-03-11 |
| 1134468374 | Alexandra Scamarone | Acupuncturist | 5319 Sw Westgate Dr, Unit No. 150, Portland, OR 97221 | 2013-02-07 |
| 1508118316 | Nichole C. Marks | Speech-Language Pathologist | 6125 Sw Boundary, Portland, OR 97221 | 2012-10-04 |
| 1649529538 | Navkiran Kaur Singh | Counselor | 5440 Sw Westgate Drive., Suite 175, Portland, OR 97221 | 2012-09-06 |
| 1306124276 | Alyssa C. Brin | Counselor | 5440 Sw Westgate Dr Ste 210, Portland, OR 97221 | 2011-07-26 |
| Find all providers in zip 97221 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356662845 | Baber Nazir Khatib | Dentist | 1849 Nw Kearney St Ste 300, Portland, OR 97209-1453 | 2010-06-18 |
| 1780728998 | Normund Karl Auzins | Dentist | 3549 N Lombard St, Portland, OR 97217-5901 | 2007-02-19 |
| 1962412312 | Steven Wayne Beadnell | Dentist | 11786 Sw Barnes Rd Ste 110, Portland, OR 97225-5926 | 2006-08-08 |
| 1639103658 | Columbia Park Oral Surgery PC | Dentist | 3549 N Lombard, Portland, OR 97217-5901 | 2006-07-10 |
| 1881674042 | Kim K Erickson | Dentist | 511 10th Ave Suite 808, Portland, OR 97205-4661 | 2006-01-21 |
| 1871571711 | Daniel Joseph Traub | Dentist | 131 Johnson Rd Suite 3, Portland, ME 04102 | 2006-01-01 |
| 1972588374 | Julie Ann Smith | Dentist | 8931 Se Foster Rd, Portland, OR 97266-4661 | 2005-12-08 |
| 1952717084 | Maine Coast Oral Surgery | Dentist | 1601 Congress St, Portland, ME 04102-2102 | 2014-07-09 |
| 1740695527 | Adam Peter Fagin | Dentist | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2014-06-30 |
| 1073928289 | Nadir Elias | Dentist | 1849 Nw Kearney St Ste 300, Portland, OR 97209-1453 | 2014-06-25 |
| 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.