NPI 1508130642

Prodental Hygiene LLC

Organisation Physical Disabilities Residential Treatment Facility Hillsboro, OR

Practice location

Address: 6279 NE Carillion Dr Unit 103, Hillsboro, OR 97124-8092
Phone: (503) 729-2864

Authorised official

Name: Lilia V Hamblin
Title: Dental Hygienist
Phone: (503) 729-2864

Registered specialties (5)

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X

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Assisted Living Facility

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Alzheimer Center (Dementia Center)

Nursing & Custodial Care Facilities Taxonomy 311500000X

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Adult Care Home Facility

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X

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Pediatric Skilled Nursing Facility

Nursing & Custodial Care Facilities Taxonomy 3140N1450X

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Registry record

NPI: 1508130642
Entity type: Organization
NPI issued: 7 Mar 2012
Record last updated: 7 Mar 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.