DR. KELLY CONLIN ANDREWS (NPI# 1518245349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518245349 |
| Entity Type | Individual |
| Full Name | DR. KELLY CONLIN ANDREWS |
| Practice Address |
9900 Sw Greenburg Rd Ste 240 Tigard OR 97223-5454 |
| Mailing Address |
Po Box 490 Redmond OR 97756-0092 |
| Practice Telephone | 5034433842 |
| Practice Fax Number | 5415043907 |
| Mailing Telephone | 8662689631 |
| Mailing Fax Number | 5415043907 |
| Enumeration Date | 2011-07-27 |
| Last Update Date | 2011-07-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D9633 | OR | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821478967 | Kelly R Andrews | Massage Therapist | 4101 Wicker Rd, Bloomington, IL 61704 | 2015-06-03 |
| 1801236443 | Kelly Anne Andrews | Behavioral Analyst | 26 Ivy St, Apt 4a, Farmingdale, NY 11735-2358 | 2013-06-27 |
| 1528367216 | Kelly L Andrews | Counselor | 2106 Thoroughgood Rd, Military Integrative Therapies, LLC, Virginia Beach, VA 23455-4015 | 2011-03-21 |
| 1518479914 | Kelly Alice Andrews | Counselor | 4124 Walney Rd Ste N, Chantilly, VA 20151-2937 | 2017-10-26 |
| 1912444639 | Kelly Andrews | Behavior Technician | 13815 Devan Lee Dr E, Jacksonville, FL 32226-5868 | 2017-01-20 |
| 1093122244 | Kelly Andrews | Social Worker | 1730 W 25th St, Cleveland, OH 44113-3108 | 2014-07-21 |
| 1982920179 | Kelly M Andrews | Hearing Instrument Specialist | 7 Hospital Dr, Abilene, TX 79606-5269 | 2010-04-13 |
| 1467471888 | Kelly Andrews | Chiropractor | 8202 Excelsior Dr, Madison, WI 53717-1906 | 2006-07-18 |
| Street Address |
9900 SW GREENBURG RD STE 240 |
| City | TIGARD |
| State | OR |
| Zip Code | 97223-5454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053968891 | Elizabeth My Anh Phan | Dentist | 9900 Sw Greenburg Rd Ste 240, Tigard, OR 97223-5454 | 2019-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760042618 | Tess Ivie Manso | Counselor | 8915 Degrees Center St, Tigard, OR 97223 | 2019-06-13 |
| 1780141804 | Amybrunermd LLC | Obstetrics & Gynecology | 6958 Sw Varns Street, Portland, OR 97223 | 2019-02-25 |
| 1417425034 | Patience Marie Rutto | Counselor | 8915 Sw Center Streret, Tigard, OR 97223 | 2018-11-13 |
| 1871089581 | Marina E Menegol | Behavioral Analyst | Center for Social Dynamics, 9115 Southwest Oleson Rd. Ste. 100, Portland, OR 97223 | 2018-07-05 |
| 1215423165 | Katherine Virginia Eichner | Psychologist | 9860 Sw Hall Blvd Ste B, Tigard, OR 97223 | 2018-07-03 |
| 1043717390 | Rayna Donnelly | Physician Assistant | 9735 Sw Shady Ln Ste 102, Tigard, OR 97223 | 2018-04-11 |
| 1376059725 | Kaylie Marilyn Reyes | Behavioral Analyst | 9115 Sw Oleson Road, Portland, OR 97223 | 2017-12-21 |
| 1841704004 | Kathleen Terrell Taylor | Occupational Therapist | 7320 Sw Hunziker, Suite 203, Tigard, OR 97223 | 2017-11-27 |
| 1487163036 | Susie Riess | Counselor | 10763 Sw Greenburg Road, Suite 100, Tigard, OR 97223 | 2017-09-27 |
| 1043731243 | Tam Nguyen | Optometrist | 8795 Sw Scholls Ferry Rd Ste 100, Tigard, OR 97223 | 2017-06-28 |
| Find all providers in zip 97223 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093138893 | Oregon Mobile Dentistry, P.C. | Dentist | 11820 Sw King James Pl Ste 10j, Tigard, OR 97224-2481 | 2014-01-29 |
| 1962834861 | Gena Vinsky | Dentist | 9270 Sw Mandamus Court, Tigard, OR 97223 | 2013-08-01 |
| 1740553106 | Bridgeport Family Dental, LLC | Dentist | 7420 Sw Bridgeport Rd Ste 104, Tigard, OR 97224-7790 | 2012-02-15 |
| 1962784090 | Sheeva Azimi | Dentist | 9225 Sw Hall Blvd Ste E, Tigard, OR 97223-6794 | 2011-09-14 |
| 1174657217 | Dimitrios J. Vareldzis Dds, PC | Dentist | 15885 Sw 116th Ave, Tigard, OR 97224-2647 | 2007-03-14 |
| 1487701942 | Richard Wallace Moore | Dentist | 10220 Sw Greenburg Road, Suite 150, Tigard, OR 97223-5529 | 2007-01-05 |
| 1871602417 | Mahmoud Maghsoudlou | Dentist | 7095 Sw Gonzaga St, Tigard, OR 97223-8309 | 2006-08-29 |
| 1194839407 | Terry Walter Tarrant | Dentist | 12290 Sw Main Street, Suite 3a, Tigard, OR 97223 | 2006-08-17 |
| 1134143076 | Rod Johnson | Dentist | 11815 Sw King James Pl Ste 10, Tigard, OR 97224-2479 | 2006-07-26 |
| 1396766036 | Scott T Simpson | Dentist | 16035 Sw Pacific Hwy, Tigard, OR 97224-3438 | 2006-07-21 |
| Find all providers in TIGARD | ||||
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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.