KAISER PERMAMANTE
NPI 1003829391
Dental Assistant in Clackamas, OR

Active since August 15, 2006
10209 SE SUNNYSIDE RD, CLACKAMAS, OR 97015(503) 353-3900(503) 353-3903 Get Directions Write a Review

NPPES record last updated: June 23, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 24, 2021, Aug 22, 2020 (2 updates tracked since 2020).

About Kaiser Permamante NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAISER PERMAMANTE (NPI 1003829391) is a healthcare organization registered as a dental assistant in Clackamas, Oregon and active in the NPI registry since August 2006. The organization lists Stephen Shawn Barton, Executive Director, Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1003829391
Entity TypeOrganization
Primary Taxonomy126800000X
Legal Business NameKAISER PERMAMANTE
Location Address10209 SE SUNNYSIDE RDClackamas, OR 97015-9782
Mailing Address10209 Se Sunnyside RdClackamas, OR 97215 · (503) 353-3900 · Fax (503) 353-3903
Fax(503) 353-3903
Organization SubpartNo
Authorized OfficialStephen Shawn BartonExecutive Director, Revenue Cycle · (503) 813-2440
Enumeration DateAugust 15, 2006
Last NPPES UpdateJune 23, 20222 updates tracked since enumeration
NPPES CertifiedJune 23, 2022
NPI 1003829391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDental AssistantDental Providers
Taxonomy Code126800000X
License Licensed in OR · A5867
Definition

An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary.

10209 SE SUNNYSIDE RD, Clackamas, OR 97015

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
10209 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Dentist (General Practice)
10209 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Dentist (General Practice)
10209 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Dental Hygienist
10209 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Dental Hygienist
10209 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Dental Hygienist
10209 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Dentist (General Practice)
10209 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Dentist (General Practice)
10209 SE SUNNYSIDE RD
CLACKAMAS, OR 97015

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003829391, enumerated as an "organization" on August 15, 2006.

The provider is located at 10209 SE SUNNYSIDE RD CLACKAMAS, OR 97015 and the phone number is (503) 353-3900.

Dental Assistant with taxonomy code 126800000X.