Ghebre Bahta

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

H4571 Issued in OR

Practice address

16155 NW Cornell Rd Ste 450
Beaverton, OR 97006-8101

Phone

(503) 629-5300

NPI assigned

Sep 7, 2016

Last updated

Sep 7, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473206400000",
    "number": "1467909333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16513 NE 40TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986825635",
            "telephone_number": "503-888-5594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16155 NW CORNELL RD STE 450",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970068101",
            "telephone_number": "503-629-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAHTA",
        "first_name": "GHEBRE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-07",
        "last_updated": "2016-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "OR",
            "license": "H4571",
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "WA",
            "license": "HL60004995",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheyla Fernanda Baez
• Yakov Baghdanov
• Dalton Bagley, LMT
• Jennifer Bagley
• Kristine S. Bahng, LD
• Aurora Bailey, MSW
• Elizabeth Bailey, RN
• Maria Alexis Bailey, M.ED.
• Mattie Sian Bailey
• Maurica Bailey

• Dental Hygienist in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Dental Hygienist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; 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.