KELLI MARIE RIKE (NPI# 1770070815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770070815 |
| Entity Type | Individual |
| Full Name | KELLI MARIE RIKE |
| Practice Address |
17437 Boones Ferry Rd Ste 200 Lake Oswego OR 97035-6203 |
| Practice Telephone | 5039283471 |
| Mailing Telephone | 5039283471 |
| Enumeration Date | 2018-04-14 |
| Last Update Date | 2019-09-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D10969 | OR | Dental Providers |
| Street Address |
17437 BOONES FERRY RD STE 200 |
| City | LAKE OSWEGO |
| State | OR |
| Zip Code | 97035-6203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700127 | Teresa Siebenaler Scott | Social Worker | 3990 Sw Collins Way, Suite 202, Lake Owsego, OR 97035 | 2020-11-04 |
| 1528671567 | Martin Henry Lees | Internal Medicine | 14 Morningview Lane, Lake Oswego, OR 97035 | 2020-08-28 |
| 1356976187 | Premere Rehab LLC | Occupational Therapist | Infinity Rehab - The Springs At Lake Oswego, 3900 Kruse Way Pl, Lake Oswego, OR 97035 | 2020-03-12 |
| 1689212193 | Jennifer Chauvin | Nurse Practitioner | 20 Juarez Street, Lake Oswego, OR 97035 | 2019-12-16 |
| 1003396888 | Sarah Guenzburger | Physical Therapist | 3900 Kruse Way Pl, Lake Oswego, OR 97035 | 2018-08-21 |
| 1568964252 | Brett Johnson | Marriage & Family Therapist | 5655 Southwood Dr, Lake Oswego, OR 97035 | 2018-03-08 |
| 1912416561 | Michael Paul Long | Social Worker | 14523 Westlake Drive, Lake Oswego, Or 97035, Lake Oswego, OR 97035 | 2017-09-27 |
| 1467807859 | Misty Lohn | Nurse Practitioner | 5 Centerpointe Dr., Ste 600, Lake Oswego, OR 97035 | 2016-05-04 |
| 1326405473 | Kelsey Prince | Behavioral Analyst | 6400 Sw Rosewood St., Portland (lake Oswego), OR 97035 | 2016-01-20 |
| 1942683388 | Elizabeth Risberg Harrison | Massage Therapist | 190 Oswego Summit, Lake Oswego, OR 97035 | 2015-07-02 |
| Find all providers in zip 97035 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255791117 | Matthew M Sheppard D.m.d L.L.C. | Dentist | 15962 Boones Ferry Rd Ste 208, Lake Oswego, OR 97035-4360 | 2016-03-03 |
| 1013264308 | Nicholas G Dose | Dentist | 601 1st St Ste A, Lake Oswego, OR 97034-2370 | 2012-08-06 |
| 1942432786 | Julia V Savina | Dentist | 200 Greenridge Dr, #209, Lake Oswego, OR 97035-8849 | 2009-08-12 |
| 1689830556 | Ian Stuart Tydeman | Dentist | 14800 Kruse Oaks Blvd, Suite A, Lake Oswego, OR 97035-8603 | 2008-07-31 |
| 1871755587 | John Lindsay Tullis Jr. | Dentist | 16463 Boones Ferry Rd Ste 200, The Olson Memorial Clinic, Lake Oswego, OR 97035-4375 | 2008-06-25 |
| 1467668707 | Jon Christopher Robinson | Dentist | 310 N State St, Suite 310, Lake Oswego, OR 97034-3261 | 2007-05-15 |
| 1346453370 | Steven Blakley | Dentist | 454 A Ave, Lake Oswego, OR 97034-3038 | 2007-05-07 |
| 1831319474 | The Art of Smilemaking | Dentist | 4200 Sw Mercantile Dr, Ste 740, Lake Oswego, OR 97035 | 2007-04-26 |
| 1386861789 | Ligia Ines Morrison | Dentist | 4200 Sw Merchantile Drive, Suite 740, Lake Oswego, OR 97035 | 2007-04-19 |
| 1275759953 | S. William Cheah | Dentist | 601 1st St Ste E, Lake Oswego, OR 97034-2370 | 2007-04-18 |
| Find all providers in LAKE OSWEGO | ||||
| City | LAKE OSWEGO |
| Zip Code | 97035 |
Please comment or provide details below to improve the information on KELLI MARIE RIKE.
| 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.