| Essential Dental Hygiene, Llc | |
|
335 Nw 140th Pl Beaverton OR 97006-6161 | |
| (541) 815-3985 | |
| Not Available |
| Full Name | Essential Dental Hygiene, Llc |
|---|---|
| Speciality | Dental Hygienist |
| Location | 335 Nw 140th Pl, Beaverton, Oregon |
| Authorized Official Name and Position | Heather Lee Humphrey (REGISTERED DENTAL HYGIENIST) |
| Authorized Official Contact | 5418153985 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Essential Dental Hygiene, Llc 335 Nw 140th Pl Beaverton OR 97006-6161 Ph: (541) 815-3985 | Essential Dental Hygiene, Llc 335 Nw 140th Pl Beaverton OR 97006-6161 Ph: (541) 815-3985 |
| NPI Number | 1306115803 |
|---|---|
| Provider Enumeration Date | 12/29/2011 |
| Last Update Date | 12/29/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306115803 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | H5866 (Oregon) | Secondary |
| 124Q00000X | Dental Hygienist | H5866 (Oregon) | Primary |
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