Active NPI
Stacey Mueller, BS, RDH
- Dental Hygienist
- Lake Oswego, OR
National Provider Identifier
1407558018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- H4097
- Practice address
- 15630 Boones Ferry Rd Ste 6
Lake Oswego, OR 97035-3455 - Phone
- (971) 346-0355
- Fax
- (833) 262-1495
- NPI assigned
- Mar 20, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | H4097 | OR | Primary |
Addresses
Primary practice location
15630 Boones Ferry Rd Ste 6
Lake Oswego, OR 97035-3455
Mailing address
15630 Boones Ferry Rd Ste 6
Lake Oswego, OR 97035-3455
Phone (971) 346-0355
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H4097 | OR | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679270400000",
"number": "1407558018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15630 BOONES FERRY RD STE 6",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970353455",
"telephone_number": "971-346-0355",
"fax_number": "833-262-1495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15630 BOONES FERRY RD STE 6",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970353455",
"telephone_number": "971-346-0355",
"fax_number": "833-262-1495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUELLER",
"first_name": "STACEY",
"credential": "BS, RDH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-03-20",
"last_updated": "2023-03-20",
"certification_date": "2023-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "OR",
"license": "H4097",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Oswego, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.