BENJAMIN HANBY STEWARD (NPI# 1548537020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548537020 |
| Entity Type | Individual |
| Full Name | BENJAMIN HANBY STEWARD |
| Practice Address |
12750 Se Stark St Bldg E Portland OR 97233-1539 |
| Mailing Address |
1776 Sw Madison St Portland OR 97205-1715 |
| Practice Telephone | 9713473009 |
| Practice Fax Number | 9712563277 |
| Mailing Telephone | (971) 386-2278 |
| Mailing Fax Number | 5032244494 |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 125J00000X | Dental Therapist | 11-068-DHAT | AK | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 123 Tok Cutoff, Tok, AK 997800083 | 9078835185 | 9074593925 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518917160 | Benjamin G Steward | Physician Assistant | 905 University Dr, State College, PA 16801-6626 | 2006-05-12 |
| Street Address |
12750 SE STARK ST BLDG E |
| City | PORTLAND |
| State | OR |
| Zip Code | 97233-1539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841376563 | Alistair L Kok | Dentist | 12750 Se Stark St Bldg E, Portland, OR 97233-1539 | 2006-10-27 |
| 1558912121 | Claressa T Burel | Dental Assistant | 12750 Se Stark St Bldg E, Portland, OR 97233-1539 | 2019-09-25 |
| 1285281691 | Sante L Van Meter | Dental Assistant | 12750 Se Stark St Bldg E, Portland, OR 97233-1539 | 2019-08-20 |
| 1538726567 | Jerry W Wilkins II | Dental Assistant | 12750 Se Stark St Bldg E, Portland, OR 97233-1539 | 2019-05-24 |
| 1811416308 | Delta A Chandler | Dental Assistant | 12750 Se Stark St Bldg E, Portland, OR 97233-1539 | 2017-09-15 |
| 1952820839 | Margaret Marie Nicole Lawson | Dental Assistant | 12750 Se Stark St Bldg E, Portland, OR 97233-1539 | 2017-09-12 |
| 1043759616 | Jourdan L Burklund | Dental Hygienist | 12750 Se Stark St Bldg E, Portland, OR 97233-1539 | 2017-02-15 |
| 1801349980 | Lisa Y Anderson | Dentist | 12750 Se Stark St Bldg E, Portland, OR 97233-1539 | 2016-07-26 |
| 1033662085 | Rachel J Morsette | Dental Assistant | 12750 Se Stark St Bldg E, Portland, OR 97233-1539 | 2016-07-26 |
| 1518310770 | Pilar M Beltran | Dental Assistant | 12750 Se Stark St Bldg E, Portland, OR 97233-1539 | 2016-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205448164 | Moore Therapy Services, LLC | Behavioral Analyst | 2053 Se 181st Ave, Portland, OR 97233 | 2020-08-20 |
| 1427563733 | Central City Concern Inc | Clinic/Center | 1415 Se 122nd Ave, Portland, OR 97233 | 2017-12-08 |
| 1427573443 | Sunshine Ahc | In Home Supportive Care | 2217 Se 156th Ave, Portland, OR 97233 | 2017-08-10 |
| 1538609433 | Nathaniel Davis Jr. | Counselor | 8915 Se Center St, Tigard, OR 97233 | 2017-02-27 |
| 1154878627 | Oregon Outreach Inc | Case Management | 1740 South East 139th Avenue, Portland, OR 97233 | 2016-09-01 |
| 1023461019 | Julianne Baltzley | Counselor | 2409 Se 149th Avenue, Portland, OR 97233 | 2016-07-14 |
| 1710332143 | Emma Slater | Counselor | 12360 Se Burnside, Portland, OR 97233 | 2016-05-04 |
| 1245621952 | Gregory Brett Bledsoe | Counselor | 1427 Se 182nd Ave., Portland, OR 97233 | 2015-02-17 |
| 1396149852 | Jacqueline Bension | Counselor | 1705 Se 122nd Ave, Portland, OR 97233 | 2014-10-13 |
| 1700206950 | Olga I Zlatova I | Dental Hygienist | 325 Se 154th Ave, Portland, OR 97233 | 2014-04-25 |
| Find all providers in zip 97233 | ||||
| Taxonomy Code | 125J00000X |
| Grouping | Dental Providers |
| Classification | Dental Therapist |
| A Dental Therapist is an individual who has completed an accredited or non-accredited dental therapy program and who has been authorized by the relevant state board or a tribal entity to provide services within the scope of their practice under the supervision of a dentist. Functions that may be delegated to the dental therapist vary based on the needs of the dentist, the educational preparation of the dental therapist and state dental practice acts and regulations. |
| Notes: Source: Summarized from Minnesota Statute 150A.105. [7/1/2012: new] |
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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.