The Aesthetic Experience, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

THE AESTHETIC EXPERIENCE, LLC

Practice address

1969 Willamette Falls Dr Ste 160
West Linn, OR 97068-4695

Phone

(503) 367-9565

NPI assigned

Nov 30, 2021

Last updated

Dec 27, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Olesya Salathe, DMDNPI 1619281623

Title

President

Phone

(503) 367-9565

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Olesya Salathe, D.M.D.

  • Dentist
  • Molalla, OR
  • NPI 1619281623
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640563200000",
    "number": "1396403010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1969 WILLAMETTE FALLS DR STE 160",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970684695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1969 WILLAMETTE FALLS DR STE 160",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970684695",
            "telephone_number": "503-367-9565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE AESTHETIC EXPERIENCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-30",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A",
        "authorized_official_last_name": "SALATHE",
        "authorized_official_first_name": "OLESYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-367-9565",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEE FOR SERVICE",
            "identifier": "NA",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Oryx",
            "affiliation": "N",
            "address_1": "1969 Willamette Falls Dr Ste 160",
            "city": "West Linn",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970684695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ted C Weesner, DDS
• Noel Marcel Tenoso, PT
• Ashley Denise Terry, M.A.
• Brian Tetz, LMT
• Junko Tezen
• The Alignment Collective
• The Vintage Physical Therapy and Training
• Therapeutic Associates Inc (TAI - West Linn)
• John Thickins, PSY.D.
• Jacob Lyn Thomason

• General Practice Dentistry in West Linn, OR
• Providers in West Linn, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.