Dr. Stewart L Clelen , DMD
Dentist - General Practice • Portland, OR
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Stewart Clelen has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Stewart Clelen, DMD was a registered Dentist - General Practice practicing in Portland, OR. Throughout an active medical career spanning 13 years, Dr. Clelen provided care at the practice location at 4614 SW VERMONT ST until profile deactivation on 2019-08-12.
Practice Location & Contact Primary Location
4614 Sw Vermont St
Portland, OR 97219
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Portland, OR
Practicing in Portland, OR (1994 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
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.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on August 12, 2019
NPI status registered as active in NPPES database
Registered at 4614 SW VERMONT ST, PORTLAND, OR 97219 (Tel: 5032462531)
Registered at 4614 SW VERMONT ST, PORTLAND, OR 97219 (Tel: 5032462531)
Recorded as STEWART CLELEN, DMD
Dentist (License #5642 in OR)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
4614 Sw Vermont St
Portland, OR 97219
Phone: 5032462531
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