AMANDA ALICE GRAY (NPI# 1588168801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588168801 |
| Entity Type | Individual |
| Full Name | AMANDA ALICE GRAY |
| Credential | RDH |
| Practice Address |
671 Sw Main St Winston OR 97496-6571 |
| Mailing Address |
4760 Reston Rd Roseburg OR 97471-9759 |
| Practice Telephone | 4588027028 |
| Mailing Telephone | 5412383887 |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2018-03-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | H6381 | OR | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609486901 | Amanda Nicole Gray | Psychologist | 6401 Eldorado Pkwy Ste 335, Mckinney, TX 75070-6520 | 2020-08-03 |
| 1700398237 | Amanda Gray | Social Worker | 1204 W South Jordan Pkwy Ste B, South Jordan, UT 84095-4612 | 2017-10-24 |
| 1023528791 | Amanda Breaux Gray | Social Worker | 1940 Laura Cir, Twin Falls, ID 83301-7009 | 2017-10-06 |
| 1023630811 | Amanda Gray | Behavior Technician | 2474 E Joyce Blvd Ste 2, Fayetteville, AR 72703-4932 | 2020-05-14 |
| 1588214266 | Amanda Gray | Counselor | 700 Childrens Dr, Columbus, OH 43205-2639 | 2019-09-16 |
| 1083116917 | Amanda Gray | Nurse Practitioner | 125 W Church St, Lexington, TN 38351-2011 | 2018-03-07 |
| 1982131678 | Amanda Lynn Gray | Behavior Technician | 11411 Nw 56th Dr, Coral Springs, FL 33076-3122 | 2017-05-12 |
| 1093240186 | Amanda Ellen Forbes Gray | Nurse Practitioner | 26 Bleecker St, New York, NY 10012-2413 | 2017-04-26 |
| 1548703978 | Amanda Gray | Rehabilitation Practitioner | 1576 Merritt Blvd Ste 7, Dundalk, MD 21222-2114 | 2016-12-03 |
| 1245635291 | Amanda Malone Gray | Physician Assistant | 1265 Union Ave, Emergency Department, Memphis, TN 38104-3415 | 2014-11-01 |
| Street Address |
671 SW MAIN ST |
| City | WINSTON |
| State | OR |
| Zip Code | 97496-6571 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255547501 | Carol Ann Lockwood | Dentist | 671 Sw Main St, Winston, OR 97496-6571 | 2007-05-15 |
| 1154975001 | Jacob Mcavoy | Physician Assistant | 671 Sw Main St, Winston, OR 97496-6571 | 2019-07-30 |
| 1861967648 | Adapt | Clinic/Center | 671 Sw Main St, Winston, OR 97496-6571 | 2018-10-09 |
| 1295251072 | Suzanne Ruth Dudek | Family Medicine | 671 Sw Main St, Winston, OR 97496-6571 | 2017-08-14 |
| 1811425564 | Lisa Crawford | Social Worker | 671 Sw Main St, Winston, OR 97496-6571 | 2017-05-25 |
| 1265983431 | Marcy Ellen Dean | Registered Nurse | 671 Sw Main St, Winston, OR 97496-6571 | 2016-10-21 |
| 1003285271 | Louis Darling | Social Worker | 671 Sw Main St, Winston, OR 97496-6571 | 2015-09-17 |
| 1083016695 | Cora G Hart | Psychologist | 671 Sw Main St, Winston, OR 97496 | 2014-09-25 |
| 1386073898 | Michelle Hubbard | Dental Hygienist | 671 Sw Main St, Winston, OR 97496-6571 | 2013-11-05 |
| 1952662330 | Emily Ann Robertson | Dental Hygienist | 671 Sw Main St, Winston, OR 97496-6571 | 2012-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679957708 | Second Wind Mental Health Clinic | Clinic/Center | 11 Sw Brantley Drive, Winston, OR 97496 | 2015-07-18 |
| 1992951305 | Ronald Forrest Tribble | Dentist | 90 Nw Glenhart, Winston, OR 97496 | 2008-08-18 |
| 1396923884 | Karen S Triplett | Nurse Practitioner | 92 Nw Glenhart Ave, Winston, OR 97496 | 2008-02-06 |
| 1629168166 | Adolescent Day Treatment Center Inc of Douglas County | Clinic/Center | 671 S.w. Main, Winston, OR 97496 | 2006-10-13 |
| 1184610123 | Ronald F. Tribble, Dmd, PC | Dentist | 90 Nw Glenhart Ave, Winston, OR 97496 | 2005-09-26 |
| 1912160169 | Kathryn Elizabeth Dailey | Social Worker | 671 Sw Main, Winston, OR 97496 | 2008-07-08 |
| 1912061755 | Adapt | Family Medicine | 671 Sw Main, Winston, OR 97496-0012 | 2006-12-19 |
| 1144426271 | Rebecca Lin Duffy | Nurse Practitioner | 311 Sw Main, Winston, OR 97496-0771 | 2007-06-25 |
| 1861843310 | Stacy J Nielsen, Lcsw, LLC | Community/Behavioral Health | 11 Sw Brantley Dr, Winston, OR 97496-4526 | 2016-06-27 |
| 1033462866 | Kathryn Vara | Registered Nurse | 77 Sw Brantley Dr, Winston, OR 97496-4526 | 2012-10-17 |
| Find all providers in zip 97496 | ||||
| Taxonomy Code | 124Q00000X |
| Grouping | Dental Providers |
| Classification | Dental Hygienist |
| An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386073898 | Michelle Hubbard | Dental Hygienist | 671 Sw Main St, Winston, OR 97496-6571 | 2013-11-05 |
| 1952662330 | Emily Ann Robertson | Dental Hygienist | 671 Sw Main St, Winston, OR 97496-6571 | 2012-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730789439 | Carlin Chung | Dental Hygienist | 8839 Sw Amicus Ter, Beaverton, OR 97007-9045 | 2020-10-30 |
| 1770196586 | Sacha Ariana Lodge | Dental Hygienist | 17065 Shawnee Circle, Bend, OR 97707 | 2020-08-31 |
| 1366051955 | Tia Glanding | Dental Hygienist | 490 W Pickett Creek Rd, Grants Pass, OR 97527-9668 | 2020-07-29 |
| 1396354098 | Sierra Nicole Miller | Dental Hygienist | 2383 Nw Hackamore Ln, Prineville, OR 97754-8011 | 2020-07-28 |
| 1447877899 | Kelly Smith | Dental Hygienist | 7700 Sw Garden Home Rd Apt 24, Portland, OR 97223-7496 | 2020-07-01 |
| 1174159453 | Tiffany Bunn | Dental Hygienist | 7313 Ne Imbrie Dr, Hillsboro, OR 97124-7595 | 2020-03-18 |
| 1598399396 | Barbara Angela Worthey | Dental Hygienist | 1050 Sw 6th Ave, Portland, OR 97204-1156 | 2020-03-02 |
| 1073144671 | Michelle Yen Nguyen | Dental Hygienist | 15280 Se Baron Loop, Happy Valley, OR 97086-4468 | 2020-02-01 |
| 1265063440 | Megan Diane Hinchcliff | Dental Hygienist | 106 Maple Blvd, Wood Village, OR 97060-1111 | 2020-01-28 |
| 1598305765 | Gisela Zepeda | Dental Hygienist | 5851 Se Chase Rd, Gresham, OR 97080-8282 | 2020-01-15 |
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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.