NPI 1679061584

Vash Dental Mobile LLC

Organisation Advanced Practice Dental Therapist Portland, OR

Practice location

Address: 1405 SE 168th Pl, Portland, OR 97233-4409
Phone: (503) 502-6525

Authorised official

Name: Nadezhda Yurko
Title: Epdh
Phone: (503) 502-6525

Registered specialties

Advanced Practice Dental Therapist Primary

Dental Providers Taxonomy 125K00000X Licence H4219 (OR)

Other Advanced Practice Dental Therapist providers in Oregon →

Registry record

NPI: 1679061584
Entity type: Organization
NPI issued: 26 Apr 2018
Record last updated: 26 Apr 2018

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.