DR. ALEXANDRA C. DE MILLO TERRAZZANI


Address: 13831 Nw Cornell Rd, Portland, OR 97229-5485
Phone: 5036149999

DR. ALEXANDRA C. DE MILLO TERRAZZANI (NPI# 1457667842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457667842
Entity Type Individual
Full Name DR. ALEXANDRA C. DE MILLO TERRAZZANI
Credential D.D.S.
Practice Address 13831 Nw Cornell Rd
Portland
OR 97229-5485
Mailing Address 7486 Se Shamrock Ln
Hillsboro
OR 97123-6193
Practice Telephone 5036149999
Mailing Telephone 3107396998
Enumeration Date 2010-08-24
Last Update Date 2018-04-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0300X Dentist
Specialization: Periodontics
D10015 OR Dental Providers
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
1400 Pelham Parkway South, Jacobi Medical Center, Bronx, NY 10461 7189185124

Office Location

Street Address 13831 NW CORNELL RD
City PORTLAND
State OR
Zip Code 97229-5485

Providers in the same location

NPI Name Taxonomy Address Enumeration
1255392502 Faith E Winters Counselor 13831 Nw Cornell Rd, Suite 104, Portland, OR 97229-5485 2006-03-28
1952889735 Viktoriya Krughkov Dental Hygienist 13831 Nw Cornell Rd, Portland, OR 97229-5485 2018-08-02
1275010514 Andrea Elizabeth Lea Collins Dentist 13831 Nw Cornell Rd, Portland, OR 97229-5485 2018-07-19
1487167565 Brian Gia Son Phan Dentist 13831 Nw Cornell Rd, Portland, OR 97229-5485 2017-11-10
1801271770 Diane Henriot Dentist 13831 Nw Cornell Rd, Suite C, Portland, OR 97229-5485 2015-07-21
1679963433 Anna Nguyen Dentist 13831 Nw Cornell Rd, Portland, OR 97229-5485 2015-02-02
1184879496 Patricia Jane Cook Marriage & Family Therapist 13831 Nw Cornell Rd, Suite 104, Portland, OR 97229-2286 2008-12-01
1679727929 Emilia C Adam Dentist 13831 Nw Cornell Rd, C, Portland, OR 97229-5485 2008-11-13
1255596904 Debra Cox Massage Therapist 13831 Nw Cornell Rd, Suite 102, Portland, OR 97229-5485 2008-07-22
1043439532 Kevin Barry Mcgovern Psychologist 13831 Nw Cornell Rd, Suite 103, Portland, OR 97229-5485 2007-04-24
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851919906 Anjana Rajan Counselor Lifeworks Northwest, 14600 Nw Cornell Rd, Portland, OR 97229 2020-07-06
1871138453 Kedrick Starr Case Manager/Care Coordinator 14600 Nw Cornell Rd., Portland, OR 97229 2019-11-07
1477102689 Raquel A Bishop Nurse Practitioner 12400 Nw Cornell Rd Ste 100, Portland, OR 97229 2019-09-10
1669026134 Alexandra Elizabeth Lodwig Speech-Language Pathologist 255 Nw Lost Springs Terrace Apt 304, Portland, OR 97229 2019-08-01
1003316043 Jenny Lavonne Thom Counselor 15220 Nw Laidlaw Rd., Suite 280, Portland, OR 97229 2018-02-16
1194230664 Ankita Guchait Case Manager/Care Coordinator 14600 Nw Cornell Rd, Portland, OR 97229 2017-12-06
1568988913 Hannah Hendrix Klingelheber Speech-Language Pathologist 15605 Nw Ryegrass St., Portland, OR 97229 2017-08-17
1548791213 Adeline Mitchell Registered Nurse 14600 Sw Cornell Rd., Portland, OR 97229 2017-03-24
1538610670 Crystal Graves Peer Specialist 14600 Nw Cornell, Portland, OR 97229 2016-10-24
1639533185 Evelin James Dental Hygienist 5879 Nw Lark Meadow Ter, Portland, OR 97229 2016-04-11
Find all providers in zip 97229

Taxonomy Information

Taxonomy Code 1223P0300X
Grouping Dental Providers
Classification Dentist
Specialization Periodontics

Taxonomy Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871026062 Leila Soltani Dentist 430 Sw 13th Ave Apt 2010, Portland, OR 97205 2017-04-05
1730632266 Samar Shaikh Dentist 716 Stevens Ave # 204, Portland, ME 04103 2016-08-02
1730472986 Wilson D Lee Dentist 315 Nw Lost Springs Ter, #401, Portland, OR 97229-6444 2011-05-20
1184954422 Kamran Haghighat Bds Ms PC Dentist 833 Sw 11th Ave Ste 1020, Portland, OR 97205-2124 2010-01-08
1225292121 Harjit Singh Sehgal Dentist 2730 Sw Moodey Ave, Clsb-5n034, Portland, OR 97201 2008-07-10
1467516211 Chirgwin & Herriges, LLC Dentist 1130 Se 122nd Ave, Portland, OR 97233-1112 2006-12-19
1568534519 Trang N Pham Dentist 10356 Ne Wasco St, Portland, OR 97220 2006-11-14
1811086887 Winthrop B. Carter Dentist 611 Sw Campus Drive, Ohsu School of Dentistry, Sd 177, Portland, OR 97239 2006-10-11
1295828069 Southern Maine Periodontal Assoc Pa Dentist 276 Canco Rd, Portland, ME 04103 2006-10-02
1598702151 Angela Blizzard Dentist 7107 Sw Macadam Ave, Portland, OR 97219-3075 2006-06-01
Find all providers in PORTLAND

Competitor

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City PORTLAND
Zip Code 97229

Improve Information

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Dataset Information

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.

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