Vash Dental Mobile LLC

Primary specialty

Advanced Practice Dental TherapistTaxonomy code 125K00000X

License

H4219 Issued in OR

Legal business name

VASH DENTAL MOBILE LLC

Practice address

1405 SE 168TH PL
Portland, OR 97233-4409

Phone

(503) 502-6525

NPI assigned

Apr 26, 2018

Last updated

Apr 26, 2018By 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

Nadezhda Yurko, BS RDH

Title

Epdh

Phone

(503) 502-6525

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1524700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524700800000",
    "number": "1679061584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 SE 168TH PL",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972334409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 SE 168TH PL",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972334409",
            "telephone_number": "503-502-6525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASH DENTAL MOBILE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-26",
        "last_updated": "2018-04-26",
        "status": "A",
        "authorized_official_last_name": "YURKO",
        "authorized_official_first_name": "NADEZHDA",
        "authorized_official_title_or_position": "EPDH",
        "authorized_official_telephone_number": "503-502-6525",
        "authorized_official_credential": "BS RDH"
    },
    "taxonomies": [
        {
            "code": "125K00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Dental Therapist",
            "state": "OR",
            "license": "H4219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Harold Varns, LMT
• Liza Varnum
• Ben Abraham Varughese, MD
• Alison Hope Vasa, MD
• Vash Dental LLC
• Jonathan Alexander Vashchenko
• Diana Vasilauskas, LMT
• Aliona Vasilchenko
• Nicholas Vaske, LCSW
• Whitney Vasko, MSN, NNP-BC

• Advanced Practice Dental Therapist in Portland, OR
• Providers in Portland, OR by specialty
• Advanced Practice Dental Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2018; 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.