CARLA RAE POLTYCIA (NPI# 1679783195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679783195 |
| Entity Type | Individual |
| Full Name | CARLA RAE POLTYCIA |
| Practice Address |
2000 Connecticut Ave North Bend OR 97459 |
| Practice Telephone | 5417569238 |
| Practice Fax Number | 5417569617 |
| Mailing Telephone | 5417569238 |
| Mailing Fax Number | 5417569617 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | Dental Providers |
| Street Address |
2000 CONNECTICUT AVE |
| City | NORTH BEND |
| State | OR |
| Zip Code | 97459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851472542 | Scott Paul Heverly | Technician, Other | 2000 Connecticut Ave, North Bend, OR 97459-2300 | 2006-10-18 |
| 1528423522 | Jaclyn Carricato | Military Health Care Provider | 2000 Connecticut Ave, North Bend, OR 97459-2300 | 2015-12-18 |
| 1639534605 | Paul Woodhead | Military Health Care Provider | 2000 Connecticut Ave, Sector North Bend Medical, North Bend, OR 97459-2300 | 2015-12-17 |
| 1659755114 | Tyler Palinkas | Technician, Other | 2000 Connecticut Ave, North Bend, OR 97459-2300 | 2015-07-15 |
| 1063832111 | Megan Lucas | Registered Nurse | 2000 Connecticut Ave, North Bend, OR 97459-2300 | 2014-04-16 |
| 1992141774 | Dustin W King | Technician, Other | 2000 Connecticut Ave, North Bend, OR 97459-2300 | 2013-05-20 |
| 1215202387 | Jonna Marie Emineth | Technician, Health Information | 2000 Connecticut Ave, North Bend, OR 97459-2300 | 2012-03-21 |
| 1033416581 | Emmanuel Lopez | Technician, Other | 2000 Connecticut Ave, North Bend, OR 97459-2300 | 2011-02-18 |
| 1932430972 | Iredell Camuel Wyatt Iv | Technician, Other | 2000 Connecticut Ave, North Bend, OR 97459-2300 | 2010-01-14 |
| 1033395520 | Donna D Tomlinson | Registered Nurse | 2000 Connecticut Ave, North Bend, OR 97459-2300 | 2008-01-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568002749 | Ya-chi Claire Chang | Nurse Practitioner | 1229 1890 Waite St #1, North Bend, OR 97459 | 2020-01-15 |
| 1629573977 | Heather M Coates | Counselor | 400 Virginia Ave Ste 100, North Bend, OR 97459 | 2018-03-28 |
| 1205257219 | Melissa Sperry | Health Educator | 510 Lockhart Street, North Bend, OR 97459 | 2013-12-17 |
| 1265862627 | Elizabeth Sylvester | Counselor | 1592 Monroe Street, North Bend, OR 97459 | 2013-11-22 |
| 1124370291 | Brian Noble Thompson | Pharmacist | 3411 Broadway St., North Bend, OR 97459 | 2012-10-12 |
| 1295081230 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3411 Broadway St, North Bend, OR 97459 | 2012-07-27 |
| 1366728370 | Melissa Jean Kovach | Occupational Therapy Assistant | 3959 Sheridan Ave., North Bend, OR 97459 | 2011-10-24 |
| 1295045052 | Mary Kay Weikel | Massage Therapist | 3229 Broadway St Suite G Serenity Therapy Center, North Bend, OR 97459 | 2010-10-14 |
| 1902080013 | Anthony Eugene Baldacci | Registered Nurse | 1836 Meade Street, North Bend, OR 97459 | 2007-12-26 |
| 1952595340 | Inland Point Senior Estates Jv LLC | Clinic/Center | 2265 Inland Drive, North Bend, OR 97459 | 2007-08-29 |
| Find all providers in zip 97459 | ||||
| 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 |
|---|---|---|---|---|
| 1619365939 | Leslee A Yost | Dental Hygienist | 201 Legge Lk, North Bend, NE 68649-2005 | 2015-01-08 |
| 1396091575 | Stephanie Lynn Brouse | Dental Hygienist | 2157 Broadway Ave, North Bend, OR 97459-2329 | 2012-07-25 |
| 1760791149 | Catherine Marie Enyeart | Dental Hygienist | 93857 Sunny Hill Ln, North Bend, OR 97459-7529 | 2010-10-01 |
| 1831517945 | Erica Marie Myers | Dental Hygienist | 2157 Broadway Ave, North Bend, OR 97459-2329 | 2014-04-04 |
| 1518164201 | Astrid Diepenbroek | Dental Hygienist | 1890 Waite St, Suite 1, North Bend, OR 97459-1229 | 2007-06-27 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | NORTH BEND |
| Zip Code | 97459 |
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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.