VIKTORIYA KRUGHKOV (NPI# 1952889735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952889735 |
| Entity Type | Individual |
| Full Name | VIKTORIYA KRUGHKOV |
| Practice Address |
13831 Nw Cornell Rd Portland OR 97229-5485 |
| Mailing Address |
907 Ne 194th Ave Portland OR 97230-7719 |
| Practice Telephone | 5037183762 |
| Mailing Telephone | 9713036449 |
| Enumeration Date | 2018-08-02 |
| Last Update Date | 2018-08-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | H7551 | OR | Dental Providers |
| Street Address |
13831 NW CORNELL RD |
| City | PORTLAND |
| State | OR |
| Zip Code | 97229-5485 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255392502 | Faith E Winters | Counselor | 13831 Nw Cornell Rd, Suite 104, Portland, OR 97229-5485 | 2006-03-28 |
| 1275010514 | Andrea Elizabeth Lea Collins | Dentist | 13831 Nw Cornell Rd, Portland, OR 97229-5485 | 2018-07-19 |
| 1487167565 | Brian Gia Son Phan | Dentist | 13831 Nw Cornell Rd, Portland, OR 97229-5485 | 2017-11-10 |
| 1801271770 | Diane Henriot | Dentist | 13831 Nw Cornell Rd, Suite C, Portland, OR 97229-5485 | 2015-07-21 |
| 1679963433 | Anna Nguyen | Dentist | 13831 Nw Cornell Rd, Portland, OR 97229-5485 | 2015-02-02 |
| 1457667842 | Alexandra C. De Millo Terrazzani | Dentist | 13831 Nw Cornell Rd, Portland, OR 97229-5485 | 2010-08-24 |
| 1184879496 | Patricia Jane Cook | Marriage & Family Therapist | 13831 Nw Cornell Rd, Suite 104, Portland, OR 97229-2286 | 2008-12-01 |
| 1679727929 | Emilia C Adam | Dentist | 13831 Nw Cornell Rd, C, Portland, OR 97229-5485 | 2008-11-13 |
| 1255596904 | Debra Cox | Massage Therapist | 13831 Nw Cornell Rd, Suite 102, Portland, OR 97229-5485 | 2008-07-22 |
| 1043439532 | Kevin Barry Mcgovern | Psychologist | 13831 Nw Cornell Rd, Suite 103, Portland, OR 97229-5485 | 2007-04-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851919906 | Anjana Rajan | Counselor | Lifeworks Northwest, 14600 Nw Cornell Rd, Portland, OR 97229 | 2020-07-06 |
| 1871138453 | Kedrick Starr | Case Manager/Care Coordinator | 14600 Nw Cornell Rd., Portland, OR 97229 | 2019-11-07 |
| 1477102689 | Raquel A Bishop | Nurse Practitioner | 12400 Nw Cornell Rd Ste 100, Portland, OR 97229 | 2019-09-10 |
| 1669026134 | Alexandra Elizabeth Lodwig | Speech-Language Pathologist | 255 Nw Lost Springs Terrace Apt 304, Portland, OR 97229 | 2019-08-01 |
| 1003316043 | Jenny Lavonne Thom | Counselor | 15220 Nw Laidlaw Rd., Suite 280, Portland, OR 97229 | 2018-02-16 |
| 1194230664 | Ankita Guchait | Case Manager/Care Coordinator | 14600 Nw Cornell Rd, Portland, OR 97229 | 2017-12-06 |
| 1568988913 | Hannah Hendrix Klingelheber | Speech-Language Pathologist | 15605 Nw Ryegrass St., Portland, OR 97229 | 2017-08-17 |
| 1548791213 | Adeline Mitchell | Registered Nurse | 14600 Sw Cornell Rd., Portland, OR 97229 | 2017-03-24 |
| 1538610670 | Crystal Graves | Peer Specialist | 14600 Nw Cornell, Portland, OR 97229 | 2016-10-24 |
| 1639533185 | Evelin James | Dental Hygienist | 5879 Nw Lark Meadow Ter, Portland, OR 97229 | 2016-04-11 |
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| 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 |
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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.