Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1700313871 Individual Practitioner Male Practitioner

Clifford Daniel Heaberlin

Dentist - General Practice • Clackamas, OR

Professional Overview & Biography Verified Profile Summary

Clifford Heaberlin is a registered healthcare professional specializing in Dentist - General Practice in Clackamas, OR. Practice services are available at 9775 SE SUNNYSIDE RD STE 200 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9775 Se Sunnyside Rd Ste 200

Clackamas, OR 970155721

Telephone 5036558471
Associated Practice Facility / Clinic
🏢 Clackamas County Facility NPI 1891042487

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Clackamas, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
25 Specialists

Practicing in Clackamas, OR (1994 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License OR D10706

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dawn Hanson , RN

Registered Nurse

NPI 1003989971

Registered Nurse

Claire Whitt

Case Manager/Care Coordinator

NPI 1013739119
Suzette Meier , RN

Registered Nurse

NPI 1023181286

Registered Nurse

Mary Walton , RN

Registered Nurse

NPI 1033287438

Registered Nurse

Dr. Bertha Moseson , MD

Obstetrics & Gynecology - Gynecology

NPI 1043309685

Doctor of Medicine (M.D.)

Dr. Stephen Smith , DMD

Dentist - Dental Public Health

NPI 1043342082

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active July 27, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location July 27, 2017

Registered at 9775 SE SUNNYSIDE RD STE 200, CLACKAMAS, OR 970155721 (Tel: 5036558471)

📍
Updated Business Mailing Address July 27, 2017

Registered at 4211 N MISSISSIPPI AVE, PORTLAND, OR 972173132

👤
Provider Name / Credentials Updated July 27, 2017

Recorded as CLIFFORD HEABERLIN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 27, 2017

Dentist (License #D10706 in OR)

NPI Profile Active May 18, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location May 18, 2017

Registered at 3181 SW SAM JACKSON PARK RD, PORTLAND, OR 972393011 (Tel: 5034948211)

📍
Updated Business Mailing Address May 18, 2017

Registered at 4211 N MISSISSIPPI AVE, PORTLAND, OR 972173132

👤
Provider Name / Credentials Updated May 18, 2017

Recorded as CLIFFORD HEABERLIN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 18, 2017

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 18, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1700313871
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 18, 2017
Last Update: July 27, 2017
Sole Proprietor: No

Mailing Address

4211 N Mississippi Ave

Portland, OR 972173132

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.