PROF. LAURA L MATIN


Address: 14740 Nw Cornell Rd, #120, Portland, OR 97229-5496
Phone: 5036900400

PROF. LAURA L MATIN (NPI# 1548257413) 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) 1548257413
Entity Type Individual
Full Name PROF. LAURA L MATIN
Credential DDS
Practice Address 14740 Nw Cornell Rd
#120
Portland
OR 97229-5496
Practice Telephone 5036900400
Practice Fax Number 5036904586
Mailing Telephone 5036900400
Mailing Fax Number 5036904586
Enumeration Date 2005-10-05
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
6721 OR Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
OR 050653 05

Office Location

Street Address 14740 NW CORNELL RD
#120
City PORTLAND
State OR
Zip Code 97229-5496

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689189151 Personaleyes, LLC Clinic/Center 14740 Nw Cornell Rd, Portland, OR 97229-5496 2017-12-06
1801931605 Paola F Vitiello Optometrist 14740 Nw Cornell Rd, 110, Portland, OR 97229-5496 2007-02-20
1932283181 Ritch L Seifert Chiropractor 14740 Nw Cornell Rd, Suite 190, Portland, OR 97229-5496 2006-10-24

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 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

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

Competitor

Search similar providers

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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