Brian R Hale, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D10875 Issued in OR

Practice address

191 E Historic Columbia River Hwy
Troutdale, OR 97060

Phone

(503) 674-8767

NPI assigned

Jun 8, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Troutdale Dental LLC

  • General Practice Dentistry
  • Troutdale, OR
  • NPI 1518332923
  NPD (past)
• Troutdale Dentalinc

  • Dentist
  • Troutdale, OR
  • NPI 1124414206
  NPD (past)

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566518400000",
    "number": "1689103996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 E HISTORIC COLUMBIA RIVER HWY",
            "city": "TROUTDALE",
            "state": "OR",
            "postal_code": "970602076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 E HISTORIC COLUMBIA RIVER HWY",
            "city": "TROUTDALE",
            "state": "OR",
            "postal_code": "97060",
            "telephone_number": "503-674-8767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALE",
        "first_name": "BRIAN",
        "middle_name": "R",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-08",
        "last_updated": "2019-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D10875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaysie Armandina Fox
• Gresham Troutdale Family Medical Center PC
• Gresham-Troutdale Family Medical Center
• Lindsey Grund, LMT
• James Michael Gurtisen, OD
• Glen Hams, SLPA
• Jill Annette Harrington, SPEECH LANGUAGE PATH
• Elizabeth C Hawkins, LMT
• Hazel Roxanne Hayes
• Hazel Roxanne Hayes

• General Practice Dentistry in Troutdale, OR
• Providers in Troutdale, 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 Aug 23, 2019; 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.