Beverly Vernwald, LD

Primary specialty

DenturistTaxonomy code 122400000X

License

DTDO694389 Issued in OR

Practice address

2905 SE Oak Grove Blvd
Suite 3
Milwaukie, OR 97267-1300

Phone

(503) 654-4583

NPI assigned

May 2, 2007

Sex

Female

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

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801017033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7121 N SWIFT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972031368",
            "telephone_number": "503-289-5862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 SE OAK GROVE BLVD",
            "address_2": "SUITE 3",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972671300",
            "telephone_number": "503-654-4583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERNWALD",
        "first_name": "BEVERLY",
        "credential": "LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122400000X",
            "taxonomy_group": "",
            "desc": "Denturist",
            "state": "OR",
            "license": "DTDO694389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheryl Ann Venton, OCCUPATIONAL THERAPI
• Crystal Marie Ventura, MOTR/L 'OT'
• Josie Vercide, PHYSICAL THERAPIST
• Yadira Vergara, BCBA
• Katherine Reece Vernon, OTR
• Ryan Christopher Vervisch
• Michelle Vestal
• Joan Luna Vicente, PT
• Jordan Victorio
• Alina Vielhaber

• Denturist in Milwaukie, OR
• Providers in Milwaukie, OR by specialty
• Denturist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.