Active NPI
Michael Yaremko Dmdpc
- General Practice Dentistry
- Portland, OR
National Provider Identifier
1831110592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5016
- Legal business name
- MICHAEL YAREMKO DMDPC
- Practice address
- 2517 SE 179TH Ave
Portland, OR 97236-1035 - Phone
- (503) 761-4001
- Fax
- (503) 761-0559
- NPI assigned
- Jul 21, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Trudi R Crane
- Title
- Office Manager
- Phone
- (503) 761-4001
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5016 | OR | Primary |
Addresses
Primary practice location
2517 SE 179TH Ave
Portland, OR 97236-1035
Mailing address
2517 SE 179TH Ave
Portland, OR 97236-1035
Phone (503) 761-4001
National Provider Directory
National Provider DirectoryLocations
2517 SE 179th Ave
Portland, OR 97236
Phone (503) 761-4001
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dental Hygienist
- Portland, OR
- NPI 1164831871
-
- General Practice Dentistry
- Portland, OR
- NPI 1255352993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1831110592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2517 SE 179TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972361035",
"telephone_number": "503-761-4001",
"fax_number": "503-761-0559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2517 SE 179TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972361035",
"telephone_number": "503-761-4001",
"fax_number": "503-761-0559"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL YAREMKO DMDPC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-21",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CRANE",
"authorized_official_first_name": "TRUDI",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "503-761-4001",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OR",
"license": "5016",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.