DR. BRIAN GIA SON PHAN (NPI# 1487167565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487167565 |
| Entity Type | Individual |
| Full Name | DR. BRIAN GIA SON PHAN |
| Credential | DMD |
| Practice Address |
13831 Nw Cornell Rd Portland OR 97229-5485 |
| Practice Telephone | 5036538320 |
| Enumeration Date | 2017-11-10 |
| Last Update Date | 2019-03-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D10746 | OR | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699818138 | Brian Thanh Phan | Dentist | 16011 Emerald Briar Ln., Houston, TX 77084 | 2007-02-15 |
| 1366920894 | Brian Vu Phan | Pharmacist | 1740 W Taylor St, Chicago, IL 60612-7232 | 2018-08-06 |
| 1104150747 | Brian X Phan | Pharmacist | 30116 Eigenbrodt Way, Union City, CA 94587-1225 | 2009-09-30 |
| 1427064419 | Brian Phan | Pharmacist | 13055 W Mcdowell Rd, Bldg E Ste 103, Avondale, AZ 85392-6457 | 2006-07-31 |
| Street Address |
13831 NW CORNELL RD |
| City | PORTLAND |
| State | OR |
| Zip Code | 97229-5485 |
| 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 |
| 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 |
| 1457667842 | Alexandra C. De Millo Terrazzani | Dentist | 13831 Nw Cornell Rd, Portland, OR 97229-5485 | 2010-08-24 |
| 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 | ||||
| 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 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.