DR. RAYMOND BERNARD TUCKER (NPI# 1841585593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841585593 |
| Entity Type | Individual |
| Full Name | DR. RAYMOND BERNARD TUCKER |
| Credential | DDS |
| Practice Address |
8931 Se Foster Rd Portland OR 97266-4661 |
| Mailing Address |
6950 Ne Campus Way Hillsboro OR 97124-5611 |
| Practice Telephone | 8554336825 |
| Mailing Telephone | 5039522155 |
| Enumeration Date | 2011-06-10 |
| Last Update Date | 2019-08-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
D9930 | OR | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1320 Ne 106th Ave, Portland, OR 972203966 | 5032555448 | 5032561501 |
| 405 Se 133rd Ave, Portland, OR 972331809 | 8554336825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003446873 | Raymond Tucker | Psychologist | 5000 Hennessy Blvd, Baton Rouge, LA 70808-4375 | 2020-01-21 |
| Street Address |
8931 SE FOSTER RD |
| City | PORTLAND |
| State | OR |
| Zip Code | 97266-4661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972588374 | Julie Ann Smith | Dentist | 8931 Se Foster Rd, Portland, OR 97266-4661 | 2005-12-08 |
| 1588147490 | Alissa Fields Chiropractic, LLC | Chiropractor | 8931 Se Foster Rd, Portland, OR 97266-4661 | 2018-09-07 |
| 1053764910 | Estrellita Gitzen Ramirez | Dentist | 8931 Se Foster Rd, Portland, OR 97266-4661 | 2016-07-15 |
| 1457791592 | Kyle Andrew Malloy | Dentist | 8931 Se Foster Rd, Portland, OR 97266-4661 | 2013-07-03 |
| 1568761344 | Young East Asian Medicine, LLC | Clinic/Center | 8931 Se Foster Rd, Suite 102, Portland, OR 97266-4661 | 2011-03-20 |
| 1962634857 | Dixie L.y. Small | Acupuncturist | 8931 Se Foster Rd, Ste 102, Portland, OR 97266-4661 | 2009-08-11 |
| 1427102276 | Tracy Herion | Dentist | 8931 Se Foster Rd, Portland, OR 97266-4661 | 2007-01-22 |
| 1164595930 | Rajiv Ramchandra Paonaskar | Dentist | 8931 Se Foster Rd, Portland, OR 97266-4661 | 2006-11-17 |
| 1033213657 | Thao Minhphoung Chu | Dentist | 8931 Se Foster Rd, Portland, OR 97266-4661 | 2006-09-12 |
| 1841250545 | Robert Smith | Dentist | 8931 Se Foster Rd, Portland, OR 97266-4661 | 2006-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528545969 | Willamette Pharmacy | Pharmacy | 10209 Se Division Build B Ste 100, Portland, OR 97266 | 2018-07-27 |
| 1992204697 | Sober Living Oregon Treatment Center | Clinic/Center | 10209 Se Division, Portland, OR 97266 | 2018-02-08 |
| 1699204024 | Malori Christine Butler | Registered Nurse | 7335 Se 85th Ave., Portland, OR 97266 | 2017-06-08 |
| 1487028882 | Emil Kunkel | Naturopath | 6318 Se 87th Ave, Portland, OR 97266 | 2015-11-23 |
| 1194195313 | Cory Hall-martin | Counselor | 10011 Se Division St #305, Portland, OR 97266 | 2015-09-30 |
| 1336517721 | Krispin Mayfield | Counselor | 10011 Se Division St., Suite 203, Portland, OR 97266 | 2015-09-02 |
| 1407247927 | Syrena Nicholson | Community Health Worker | 7721 Se 92nd Avenue, Apt K, Portland, OR 97266 | 2015-02-06 |
| 1659777886 | Berhanu Aynalem Mekbib | Adult Companion | 9125 Sw 55th, El Dorado, Portland, OR 97266 | 2014-11-17 |
| 1871930685 | Felicitas Amelia Penaloza | Behavioral Analyst | 9911 Se Mt.scott Boulevard, Portland, OR 97266 | 2013-06-03 |
| 1710237326 | Janna Renee Higgins | Case Manager/Care Coordinator | 9911 Se Mt. Scott Boulevard, Portland, OR 97266 | 2012-09-12 |
| Find all providers in zip 97266 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700374154 | Fox Kids Dentistry & Orthodontics II | Dentist | 1401 Se Morrison St Ste 120, Portland, OR 97214-2777 | 2018-05-01 |
| 1679924526 | Pediatric Dentistry of Portland LLC | Dentist | 2811 Ne Wasco St, Portland, OR 97232-1771 | 2016-06-22 |
| 1801183488 | World of Smiles, Pediatric Dentistry LLC | Dentist | 11790 Sw Barnes Rd Ste 280, Portland, OR 97225-5935 | 2011-07-05 |
| 1265696629 | Angela Dawn Boydston | Dentist | 2824 Ne Wasco St Ste 230, Portland, OR 97232-1772 | 2008-07-15 |
| 1972639623 | Anastacia M. Whitman | Dentist | 4548 N Albina Ave, Portland, OR 97217-3010 | 2007-02-26 |
| 1114088705 | Michael Biermann | Dentist | 5900 N Lombard St, Portland, OR 97203-4118 | 2006-12-13 |
| 1053408005 | Peter John Lax | Dentist | 830 Ne 47th Ave, Portland, OR 97213-2212 | 2006-10-09 |
| 1376646901 | Krista V Badger Dds PC | Dentist | 3839 Ne Tillamook St, Portland, OR 97212-5338 | 2006-09-07 |
| 1902827199 | Karole H Wilson D.m.d., PC | Dentist | 9370 Sw Greenburg Rd Ste T, Portland, OR 97223-5408 | 2006-07-22 |
| 1083650436 | Susan J Russett-collett | Dentist | 888 Brighton Ave, Portland, ME 04102-1004 | 2006-06-22 |
| 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.