MR. JEREMY M MILLER (NPI# 1760722219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760722219 |
| Entity Type | Individual |
| Full Name | MR. JEREMY M MILLER |
| Credential | RDH |
| Practice Address |
611 Sw Campus Dr Portland OR 97239-3001 |
| Practice Telephone | 5034948874 |
| Practice Fax Number | 5034948874 |
| Mailing Telephone | 5034948874 |
| Mailing Fax Number | 5034948874 |
| Enumeration Date | 2013-02-20 |
| Last Update Date | 2013-02-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | H6146 | OR | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538792049 | Jeremy Edward Miller | Rehabilitation Practitioner | 5338 W Spaulding St, Boise, ID 83705-2741 | 2020-02-13 |
| 1093138307 | Jeremy S Miller | Specialist/Technologist | 3507 Midway School Rd, Winston Salem, NC 27107-8741 | 2014-01-23 |
| 1629309562 | Jeremy Michael Miller | Military Health Care Provider | 7th Esb Bas, Unit 42210, Fpo, AP 96427-2210 | 2010-01-15 |
| 1831728443 | Jeremy Brian Miller | Student in an Organized Health Care Education/Training Program | 1900 Electric Rd, Salem, VA 24153-7494 | 2020-04-06 |
| 1114551181 | Jeremy Christian Miller | Student in an Organized Health Care Education/Training Program | 800 Rose St, Lexington, KY 40506-0001 | 2020-02-27 |
| 1306499918 | Jeremy D Miller | Specialist/Technologist | 5151 Park Ave, Fairfield, CT 06825-1090 | 2019-07-23 |
| 1528554409 | Jeremy Eugene Miller | Massage Therapist | 4729 County Road 101, Minnetonka, MN 55345-2634 | 2018-07-03 |
| 1932615010 | Jeremy Miller | Student in an Organized Health Care Education/Training Program | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2017-12-27 |
| 1912436445 | Jeremy Wilson Miller | Physical Therapist | 3121 E Madison St Ste 201, Seattle, WA 98112-4259 | 2017-06-08 |
| 1861938540 | Jeremy Miller | Counselor | 165 Quincy St, Brockton, MA 02302-2988 | 2017-01-18 |
| Street Address |
611 SW CAMPUS DR |
| City | PORTLAND |
| State | OR |
| Zip Code | 97239-3001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508827478 | Wei-yuhg Yih | Dentist | 611 Sw Campus Dr, Sd-515, Portland, OR 97239-3001 | 2006-03-30 |
| 1700227345 | Patra Vasiliki Alatsis | Student in an Organized Health Care Education/Training Program | 611 Sw Campus Dr, Portland, OR 97239-3001 | 2013-07-11 |
| 1740621796 | Brandon Knapp | Student in an Organized Health Care Education/Training Program | 611 Sw Campus Dr, Ohsu Department of Orthodontics, Portland, OR 97239-3001 | 2013-07-07 |
| 1669811352 | Grace E. Crary | Dentist | 611 Sw Campus Dr, Rm. 805, Portland, OR 97239-3001 | 2013-06-17 |
| 1588805311 | Eugene Owen Kelley | Dentist | 611 Sw Campus Dr, Portland, OR 97239-3001 | 2009-03-06 |
| 1730365479 | Juliana Branco Dacosta | Dentist | 611 Sw Campus Dr, Portland, OR 97239-3001 | 2008-01-11 |
| 1881894376 | Lisa S Yarborough | Dentist | 611 Sw Campus Dr, Portland, OR 97239-3001 | 2007-07-23 |
| 1659436160 | Barry Joseph Taylor | Dentist | 611 Sw Campus Dr, Faculty Dental Practice, Room 19, Portland, OR 97239-3001 | 2006-12-26 |
| 1346327905 | Theresa E Madden | Dentist | 611 Sw Campus Dr, Room 19, Portland, OR 97239-3001 | 2006-11-01 |
| 1720166242 | Larry M Doyle | Dentist | 611 Sw Campus Dr, Portland, OR 97239-3001 | 2006-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558979468 | Elise Caitlin Esposito | Student in an Organized Health Care Education/Training Program | 3710 Sw U.S. Veterans Hospital Road, Dental Service P-3 Dent, Attn: Elise Esposito, Portland, OR 97239 | 2020-07-16 |
| 1750908844 | Will Cowan | Student in an Organized Health Care Education/Training Program | 455 Sw Us Veterans Hospital Road., Portland, OR 97239 | 2020-07-06 |
| 1881219657 | Desiree Baer | Licensed Vocational Nurse | Sw Us Veterans Hospital Rd, Portland, OR 97239 | 2020-06-08 |
| 1285266205 | Melissa Irene Wheeler | Registered Nurse | Uhs-8l, 3181 S.w. Sam Jackson Park Road, Portland, OR 97239 | 2020-02-07 |
| 1225687981 | Pheba Mariam Jones | Pharmacist | Ohsu Pharmacy At Chh Building 2, 3303 Sw Bond Ave Rm 1090, Portland, OR 97239 | 2019-09-05 |
| 1801448063 | Alice Huang Huang | Student in an Organized Health Care Education/Training Program | 3710 Sw Veterans Road, Portland, OR 97239 | 2019-07-09 |
| 1710446273 | Ellen Noreen Kessi | Social Worker | 3710 Sw Us Veterans Rd., Portland, OR 97239 | 2019-03-14 |
| 1508335704 | Jacqueline Marie Mular | Marriage & Family Therapist | 5550 Sw Macadam Suite 100, Portland, OR 97239 | 2018-11-16 |
| 1275030926 | Carly Elizabeth Dougher | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd., Portland, OR 97239 | 2018-04-10 |
| 1780188094 | Dennis John Samuel | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd. L-579, Portland, OR 97239 | 2018-03-21 |
| Find all providers in zip 97239 | ||||
| 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 |
|---|---|---|---|---|
| 1053939025 | Raghda A. Salman | Dental Hygienist | 1036 Brighton Ave # Unitea, Portland, ME 04102-1059 | 2020-07-07 |
| 1447877899 | Kelly Smith | Dental Hygienist | 7700 Sw Garden Home Rd Apt 24, Portland, OR 97223-7496 | 2020-07-01 |
| 1598399396 | Barbara Angela Worthey | Dental Hygienist | 1050 Sw 6th Ave, Portland, OR 97204-1156 | 2020-03-02 |
| 1710545710 | Diane Phan | Dental Hygienist | 9151 Se Woodstock Blvd, Portland, OR 97266-5369 | 2019-06-04 |
| 1598264228 | Elizabeth Gordon | Dental Hygienist | 601 Sw Second Ave., Portland, OR 97204-3156 | 2018-02-08 |
| 1649787300 | Allison Renee Gerdes | Dental Hygienist | 3514 Ne Broadway St, Portland, OR 97232-1821 | 2018-01-03 |
| 1992217566 | Megan Van Noy | Dental Hygienist | 8332 Sw 21st Ave Apt 12, Portland, OR 97219-2853 | 2017-11-03 |
| 1861918005 | Kaiser Permanente Dental Care Program | Dental Hygienist | 2930 Ne Dekum St, Portland, OR 97211-6613 | 2017-08-18 |
| 1033634100 | Oma Casandra Hampton | Dental Hygienist | 7018 Ne 10th Ave, Portland, OR 97211-4081 | 2017-08-09 |
| 1932636214 | Hannah Elizabeth Lachance | Dental Hygienist | 131 Johnson Rd, Portland, ME 04102-1988 | 2017-05-17 |
| Find all providers in PORTLAND | ||||
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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.