Active NPI
Christina Swayne, EFDA
- Dental Assistant
- Beaverton, OR
National Provider Identifier
1588036818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Assistant
- Practice address
- 17675 SW Tualatin Valley Hwy
Beaverton, OR 97003-4443 - Phone
- (503) 259-3160
- NPI assigned
- Oct 26, 2015
- Sex
- Female
- Sole proprietor
- No
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 Assistant | 126800000X | OR | Primary |
Addresses
Primary practice location
17675 SW Tualatin Valley Hwy
Beaverton, OR 97003-4443
Mailing address
18670 NW Nelscott St
Portland, OR 97229-3208
Other names 1
- Tina Swayne
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446163200000",
"number": "1588036818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18670 NW NELSCOTT ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972293208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17675 SW TUALATIN VALLEY HWY",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970034443",
"telephone_number": "503-259-3160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWAYNE",
"first_name": "CHRISTINA",
"credential": "EFDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-26",
"last_updated": "2015-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "126800000X",
"taxonomy_group": "",
"desc": "Dental Assistant",
"state": "OR",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TINA",
"last_name": "SWAYNE",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.