Provider Demographics
NPI:1922160506
Name:FELDMANIS-CLEVER, RITA CHRISTINE (DMD)
Entity type:Individual
Prefix:DR
First Name:RITA
Middle Name:CHRISTINE
Last Name:FELDMANIS-CLEVER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:RITA
Other - Middle Name:CHRISTINE
Other - Last Name:FELDMANIS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DMD
Mailing Address - Street 1:6950 NE CAMPUS WAY
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97124-5611
Mailing Address - Country:US
Mailing Address - Phone:503-952-2164
Mailing Address - Fax:503-526-4418
Practice Address - Street 1:2703 DELTA OAKS DR
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97408-1700
Practice Address - Country:US
Practice Address - Phone:541-342-4292
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORD7700122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR019657OtherOMAP