DR. LISA SABIENNE SPINK (NPI# 1396905428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396905428 |
| Entity Type | Individual |
| Full Name | DR. LISA SABIENNE SPINK |
| Credential | DMD, MDSC, FACP |
| Practice Address |
454 A Ave Lake Oswego OR 97034-3038 |
| Mailing Address |
2545 Dellwood Dr Lake Oswego OR 97034-6717 |
| Practice Telephone | 5036363066 |
| Mailing Telephone | 9712190230 |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2012-12-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
D9271 | OR | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
454 A AVE |
| City | LAKE OSWEGO |
| State | OR |
| Zip Code | 97034-3038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346453370 | Steven Blakley | Dentist | 454 A Ave, Lake Oswego, OR 97034-3038 | 2007-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194377309 | Robin Donart | Case Manager/Care Coordinator | 2595 Christie Drive, Lake Oswego, OR 97034 | 2019-07-09 |
| 1740844539 | New Avenues for Youth | Clinic/Center | 2595 Christie Dr., Lake Oswego, OR 97034 | 2019-04-26 |
| 1366946451 | Kristy Car Makowichuk | Counselor | 630 B Avenue, Suite 9, Lake Oswego, OR 97034 | 2018-03-22 |
| 1861841504 | Soaring Crane Acuouncture LLC | Acupuncturist | 630 B Ave. #3, Lake Oswego, OR 97034 | 2016-06-03 |
| 1679945216 | Guru Sandesh Singh Khalsa | Naturopath | 630 B Avenue, Suite 3, Lake Oswego, OR 97034 | 2015-10-22 |
| 1902208846 | 360 Pediatric Psychology, PC | Clinical Neuropsychologist | 201 B Ave., Suite #285, Lake Oswego, OR 97034 | 2014-09-23 |
| 1275873309 | Sara Elizabeth Forrest | Social Worker | 2507 Christie Dr., Lake Oswego, OR 97034 | 2013-02-27 |
| 1982964631 | Catherine L Morris Daraee | Social Worker | 4040 Douglas Way, Lake Oswego, OR 97034 | 2012-05-29 |
| 1205105244 | Gail E. Barnard | Specialist/Technologist | 1260 Rockinghorse Ln, Lake Oswego, OR 97034 | 2011-12-20 |
| 1306099460 | Corinne Jarvis | Speech-Language Pathologist | 325 3rd Street, Lake Oswego, OR 97034 | 2008-11-02 |
| Find all providers in zip 97034 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811008170 | David Robert Burton | Dentist | 4035 Mercantile Dr, Suite 100, Lake Oswego, OR 97035-2546 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639684301 | Halmos & Manning LLC | Dentist | 11790 Sw Barnes Rd Ste 260, Portland, OR 97225-5935 | 2017-12-04 |
| 1730540949 | Nader Rassouli PC | Dentist | 5440 Sw Westgate Dr Ste 360, Portland, OR 97221-2446 | 2016-03-15 |
| 1538440763 | Ronald J. Levine, D.m.d. | Dentist | 1540 Commercial St Se, Salem, OR 97302-4310 | 2011-09-01 |
| 1821378142 | Ronald J. Levine, D.m.d. | Dentist | 244 Country Club Rd Ste B, Eugene, OR 97401-2200 | 2011-08-17 |
| 1669603338 | Allison Carol Broyles | Dentist | 611 Sw Campus Dr # 19, Portland, OR 97239-3001 | 2009-07-29 |
| 1689888786 | Reva M Barewal | Dentist | 9300 Se 91st Ave Ste 403, Happy Valley, OR 97086-3762 | 2007-05-09 |
| 1619180007 | Pacific Dental Institute | Dentist | 12750 Sw 68th Ave, Portland, OR 97223-8596 | 2007-05-08 |
| 1194938894 | Phillip R Dahl | Dentist | 1663 W Harvard Ave, Roseburg, OR 97470-2812 | 2007-05-08 |
| 1447379581 | Christopher Fellows | Dentist | 16155 Nw Cornell Rd, Suite 450, Beaverton, OR 97006-4810 | 2007-03-28 |
| 1861546780 | Alberto J Ambard | Dentist | 6900 Sw 105th Ave, Beaverton, OR 97008 | 2007-01-22 |
| Find all providers with the same taxonomy | ||||
| City | LAKE OSWEGO |
| Zip Code | 97034 |
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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.