Organization Active NPI

Michael Yaremko Dmdpc

  • General Practice Dentistry
  • Portland, OR
National Provider Identifier
1831110592
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5016 Issued in OR
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.