KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (NPI# 1669980348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669980348 |
Entity Type | Organization |
Organization Name | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST |
Other Organization Name | TANASBOURNE DENTAL OFFICE |
Practice Address |
19075 Nw Tanasbourne Dr Ste 300 Hillsboro OR 97124-5802 |
Mailing Address |
500 Ne Multnomah St Portland OR 97232-2023 |
Practice Telephone | 8008132000 |
Mailing Telephone | 8008132000 |
Enumeration Date | 2018-01-17 |
Last Update Date | 2018-06-16 |
Authorized Official Name | TAMMY T MCCULLER (REVENUE CYCLE SYSTEMS SPECIALIST) |
Authorized Official Telephone | 5032403933 |
Is Organization Subpart | Y |
Parent Organization Name | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 122300000X | Dentist | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OR | 500675725 | 05 |
Other Name | Type Code |
---|---|
Tanasbourne Dental Office | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588153076 | Kaiser Foundation Health Plan of The Northwest | Clinic/Center | 3060 Se Hawthorne Blvd, Portland, OR 97214-4121 | 2018-05-09 |
1992242093 | Kaiser Foundation Health Plan of The Northwest | Dentist | 12450 Sw Walker Rd, Beaverton, OR 97005-1401 | 2017-01-26 |
1801333901 | Kaiser Foundation Health Plan of The Northwest | General Practice | 3175 Nw Aloclek Dr, Hillsboro, OR 97124-7135 | 2017-01-26 |
1790113371 | Kaiser Foundation Health Plan of The Northwest | Pharmacy | 1230 7th Ave., Longview, WA 98682 | 2013-10-17 |
1093142234 | Kaiser Foundation Health Plan of The Northwest | Pharmacy | 1700 Ne 102nd Ave., Portland, OR 97220 | 2013-10-02 |
1427346543 | Kaiser Foundation Health Plan of The Northwest | Pharmacy | 5381 E Main St, Hillsboro, OR 97123-6447 | 2011-07-11 |
1215976014 | Kaiser Foundation Health Plan of The Northwest | Pharmacy | 5717 Ne 138th Ave, Portland, OR 97230-3409 | 2006-06-06 |
1801834510 | Kaiser Foundation Health Plan of The Northwest | Pharmacy | 2400 Lancaster Dr Ne, Salem, OR 97305-1221 | 2006-06-03 |
1568418051 | Kaiser Foundation Health Plan of The Northwest | Pharmacy | 7705 Se Division St, Portland, OR 97206-1059 | 2006-05-26 |
1962456194 | Kaiser Foundation Health Plan of The Northwest | Pharmacy | 5725 Ne 138th Ave, Portland, OR 97230-3409 | 2006-05-20 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Oregon Corporations, Companies and Business Names | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | One Kaiser Plaza, Oakland, CA 94612 |
Washington State Corporations | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | One Kaiser Plaza, Oakland, CA 94612 |
Street Address |
19075 NW TANASBOURNE DR STE 300 |
City | HILLSBORO |
State | OR |
Zip Code | 97124-5802 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477562296 | Kayvandokht Fun | Dental Hygienist | 19075 Nw Tanasbourne Dr Ste 300, Hillsboro, OR 97124-5860 | 2006-08-08 |
1851888614 | Audrey Sachs | Dental Assistant | 19075 Nw Tanasbourne Dr Ste 300, Hillsboro, OR 97124-5802 | 2018-04-17 |
1255886164 | Hee Eun Kim | Dental Assistant | 19075 Nw Tanasbourne Dr Ste 300, Hillsboro, OR 97124-5802 | 2016-08-20 |
1699129874 | Mollee Kay Ione Hren | Dental Assistant | 19075 Nw Tanasbourne Dr Ste 300, Hillsboro, OR 97124-5802 | 2016-04-14 |
1306204045 | Teresa Mendoza | Dental Assistant | 19075 Nw Tanasbourne Dr Ste 300, Hillsboro, OR 97124-5802 | 2016-02-09 |
1639456718 | Tina Marie Friton Scott | Dental Assistant | 19075 Nw Tanasbourne Dr Ste 300, Hillsboro, OR 97124-5802 | 2011-11-03 |
1851616270 | Marci Martin | Dental Assistant | 19075 Nw Tanasbourne Dr Ste 300, Hillsboro, OR 97124-5802 | 2010-03-29 |
1982937306 | Lesa Sherilyn Ingraham | Dental Assistant | 19075 Nw Tanasbourne Dr Ste 300, Hillsboro, OR 97124-5802 | 2009-09-16 |
1154579092 | Lubov Maria Fultz | Dental Hygienist | 19075 Nw Tanasbourne Dr Ste 300, Hillsboro, OR 97124-5802 | 2008-09-04 |
1952424624 | Quinn Michelle Drueppel | Dental Assistant | 19075 Nw Tanasbourne Dr Ste 300, Hillsboro, OR 97124-5860 | 2007-04-09 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538705322 | Pamela Anne Martin | Registered Nurse | 2875 Nw Stucki Pl, Hillsboro, OR 97124 | 2019-11-27 |
1912548892 | Donnia Mae Schwarz | Behavior Technician | 5121 Ne Elam Young Pkwy, Hillsboro, OR 97124 | 2019-10-02 |
1609305036 | Catherine Lydon | Registered Nurse | 18650 Nw Cornell Road Suite 220, Hillsboro, OR 97124 | 2017-06-08 |
1376092163 | Michael Han | Pharmacist | 2875 Nw Stucki Avenue/, Hillsboro, OR 97124 | 2016-09-22 |
1760868459 | Voices Set Free | Community/Behavioral Health | 254 North 1st Ave., Hillsboro, OR 97124 | 2015-08-04 |
1871980151 | Kevin Kar Fai Cheng | Dentist | 7206 Ne Cornell Rd, Hillsboro, OR 97124 | 2015-04-23 |
1336530047 | Maegan Lee Mcglone | Behavioral Analyst | 5801 Ne Cornelius Pass Rd, Hillsboro, OR 97124 | 2015-02-17 |
1588095772 | Hillsboro Modern Dentistry, PC | Dentist | 2790 Nw 188th Avenue, Suite A, Hillsboro, OR 97124 | 2013-12-12 |
1275977043 | Dana Hazell | Massage Therapist | 5035 Ne Elam Young Parkway, Suite 500, Hillsboro, OR 97124 | 2013-04-24 |
1679816771 | Candice May Doyle | Massage Therapist | 5215 Ne Elam Young Park Way, Suite A, Hillsboro, OR 97124 | 2013-03-27 |
Find all providers in zip 97124 |
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 |
---|---|---|---|---|
1497276018 | Benjamin Ho | Dentist | 1320 Corsicana Hwy Ste 160, Hillsboro, TX 76645-2614 | 2017-07-05 |
1871980151 | Kevin Kar Fai Cheng | Dentist | 7206 Ne Cornell Rd, Hillsboro, OR 97124 | 2015-04-23 |
1821403924 | Tesha Lynn Waggoner | Dentist | 150 Se 3rd Ave, Hillsboro, OR 97123 | 2014-06-26 |
1700226842 | Luis F Pagan | Dentist | 527 Se Baseline St Ste C, Hillsboro, OR 97123-4149 | 2013-07-03 |
1689915084 | Aixa Yari Devarie Morales | Dentist | 2247 Se Tualatin Valley Hwy, Hillsboro, OR 97123-7975 | 2013-03-09 |
1902141351 | James T. Mckown D.d.s., Inc. | Dentist | 938 West Main St, Suite 4, Hillsboro, OH 45133-7656 | 2012-12-11 |
1881959120 | Douglas William Shafer | Dentist | 1200 Ne 48th Ave Ste 1400, Hillsboro, OR 97124-5006 | 2012-07-12 |
1023323383 | Joseph Floyd Jordan Jr. | Dentist | 624 S. High St., Hillsboro, OH 45133 | 2010-08-11 |
1730492794 | Leslie Ann Nechvatal | Dentist | 624 South High St, Hillsboro, OH 45133 | 2010-07-20 |
1306968458 | J R Wolfenden Dds Sc | Dentist | 925 Water Ave, Hillsboro, WI 54634 | 2007-04-06 |
Find all providers in HILLSBORO |
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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.