Marian de Stoppelaar DMD PC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

2967 Issued in OR

Legal business name

MARIAN DE STOPPELAAR DMD PC

Practice address

2305 S E Washington St
Ste 103
Milwaukie, OR 97222-7647

Phone

(503) 786-6895

NPI assigned

Sep 30, 2005

Organization subpart

No

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

Authorized official

Name

Marian L De Stoppelaar, DMD

Title

Pres of PC Dentist

Phone

(503) 786-6895

Specialties & licenses 1

Addresses

Other names 1

• Marian L Pattison Other name

Locations

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871580225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 S E WASHINGTON ST",
            "address_2": "STE 103",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972227647",
            "telephone_number": "503-786-6895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 S E WASHINGTON ST",
            "address_2": "STE 103",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972227647",
            "telephone_number": "503-786-6895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIAN DE STOPPELAAR DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DE STOPPELAAR",
        "authorized_official_first_name": "MARIAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRES OF PC DENTIST",
        "authorized_official_telephone_number": "503-786-6895",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OR",
            "license": "2967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marian L Pattison",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kristoffer Marquez Manoos, PT
• Roy N Manriquez, PTA
• James Edward Maras, M.D.
• Jennifer Renee Marciano, COTA
• Marcus Cornwall, Dopc
• David Noel Mariano, COTA/C
• Casey Marlar, MA, LPC
• Marquis Clinical Services LLC
• Marquis Companies I, Inc.
• Mara-Romana Audra Marshall

• Pediatric Dentistry in Milwaukie, OR
• Providers in Milwaukie, OR by specialty
• Pediatric Dentistry in Oregon

• 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.