PACIFIC UNIVERSITY DENTAL HEALTH CLINIC (NPI# 1730432295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730432295 |
| Entity Type | Organization |
| Organization Name | PACIFIC UNIVERSITY DENTAL HEALTH CLINIC |
| Practice Address |
222 Se 8th Ave #271 Hillsboro OR 97123-4218 |
| Practice Telephone | 5033527373 |
| Practice Fax Number | 5033527260 |
| Mailing Telephone | 5033527373 |
| Mailing Fax Number | 5033527260 |
| Enumeration Date | 2012-10-22 |
| Last Update Date | 2012-10-22 |
| Authorized Official Name | MRS. MARIA G DEMING (MANAGER OF CLINIC OPERATIONS) |
| Authorized Official Telephone | 5033527241 |
| Is Organization Subpart | Y |
| Parent Organization Name | PACIFIC UNIVERSITY OREGON |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223D0001X |
Dentist Specialization: Dental Public Health |
OR | Dental Providers |
| Street Address |
222 SE 8TH AVE #271 |
| City | HILLSBORO |
| State | OR |
| Zip Code | 97123-4218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225029309 | Noreen Marie Marsland | Counselor | 222 Se 8th Ave, Suite 212, Hillsboro, OR 97123-4218 | 2005-10-28 |
| 1083211734 | Jake Brandt | Student in an Organized Health Care Education/Training Program | 222 Se 8th Ave, Hillsboro, OR 97123-4218 | 2020-10-06 |
| 1447865720 | Margaret Ellen Stojak | Specialist/Technologist | 222 Se 8th Ave, Hillsboro, OR 97123-4218 | 2020-09-13 |
| 1093320699 | Alexander Hilger | Student in an Organized Health Care Education/Training Program | 222 Se 8th Ave, Hillsboro, OR 97123-4218 | 2020-09-10 |
| 1710591821 | Soo Han Bong | Student in an Organized Health Care Education/Training Program | 222 Se 8th Ave, Hillsboro, OR 97123-4218 | 2020-09-04 |
| 1730798901 | Anthony H. J Becher Iv | Physician Assistant | 222 Se 8th Ave, Hillsboro, OR 97123-4218 | 2020-07-23 |
| 1699392373 | Madison Norman | Counselor | 222 Se 8th Ave, Hillsboro, OR 97123-4218 | 2020-06-29 |
| 1447874201 | Anna Sweeney | Student in an Organized Health Care Education/Training Program | 222 Se 8th Ave, Hillsboro, OR 97123-4218 | 2020-06-07 |
| 1063036978 | Amber Michelle Franco | Student in an Organized Health Care Education/Training Program | 222 Se 8th Ave, Hillsboro, OR 97123-4218 | 2020-06-05 |
| 1346864881 | Danielle N Brown | Student in an Organized Health Care Education/Training Program | 222 Se 8th Ave, Hillsboro, OR 97123-4218 | 2020-06-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851916241 | Gabriel Lawrence | Physical Therapist | 2973 Se 79th Ave., Hillsboro, OR 97123 | 2020-06-11 |
| 1487278453 | Jordan Gregory Evans | Student in an Organized Health Care Education/Training Program | Creighton Hall 222 Se 8th Ave, Hillsboro, OR 97123 | 2020-06-04 |
| 1124641006 | Jessica Anne Bramlett | Student in an Organized Health Care Education/Training Program | 228 Southeast 8th Avenue, Suite 536, Hillsboro, OR 97123 | 2020-05-26 |
| 1003448168 | Madelyn Vogt | Community Health Worker | 862 Se Oak Street, Suite 2a, Hillsboro, OR 97123 | 2020-02-06 |
| 1215435789 | Renise Harrel | Massage Therapist | 4855 Se Tv Hwy, Suite B, Hillsboro, OR 97123 | 2018-01-30 |
| 1497260269 | Amy Hodges | Counselor | 222 Se 8th Ave # 212, Hillsboro, OR 97123 | 2017-12-02 |
| 1033623723 | Tamira L Heyob | Doula | 25600 Sw Bald Peak Rd., Hillsboro, OR 97123 | 2017-11-17 |
| 1134644024 | Tara Kyoko Taylor | Massage Therapist | 5289 Ne Elam Young Pkwy #130, Hillsboro, OR 97123 | 2017-08-11 |
| 1023543055 | Austin Simpson | Counselor | 222 Se 8th, Suite 222, Hillsboro, OR 97123 | 2017-04-27 |
| 1124569769 | Emergency Tooth Doctor Hillsboro, Prof. Corp. | Dentist | 752 Se Oak St, Hillsboro, OR 97123 | 2017-03-15 |
| Find all providers in zip 97123 | ||||
| Taxonomy Code | 1223D0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dental Public Health |
| The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174662621 | Jon Ramon Gardner | Dentist | 12078 Il Rte 185, Graham Correctional Center, Hillsboro, IL 62049 | 2007-02-05 |
| 1194914515 | Rebecca Hea-sun Shin | Dentist | 730 Se Oak St, Suite A, Hillsboro, OR 97123-4245 | 2007-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427603968 | County of Tillamook | Dentist | 1925 Suppress Rd N, Tillamook, OR 97141-9296 | 2019-08-01 |
| 1184289845 | Bdg Dental LLC | Dentist | 901 Nw Carlon Ave Apt 1, Bend, OR 97703-2636 | 2019-05-07 |
| 1851878235 | Gregory A Shook | Dentist | 2575 Center Street Ne, Salem, OR 97301-4667 | 2018-07-27 |
| 1730341975 | County of Tillamook | Dentist | 34325 Highway 101 S, Cloverdale, OR 97112-9400 | 2008-06-30 |
| 1639291008 | Todd Michael Schroeder | Dentist | 13 Ne 5th Ave, Milton Freewater, OR 97862-1701 | 2007-04-04 |
| 1104948579 | Norman Dean Saager | Dentist | 508 E Broadway Ave, Milton Freewater, OR 97862-1315 | 2007-04-04 |
| 1477616720 | Jia Lin Goh | Dentist | 2403 Se Monroe St Ste F, Portland, OR 97222-7646 | 2006-12-18 |
| 1477613636 | Cynthia Rachel Varro | Dentist | 3617 S Pacific Highway, Medford, OR 97501 | 2006-12-11 |
| 1184703324 | Athena Marie Bettger | Dentist | 600 Ne 8th, Dental Clinic, Gresham, OR 97030 | 2006-11-06 |
| 1083600712 | Bc Nelson | Dentist | 470 E Washington St, Stayton, OR 97383-1837 | 2005-09-27 |
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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.