Whalio Doctors

NPI 1043437148

Michelle Ann Vaughn, RDH

Practitioner Dental Hygienist Clackamas, OR

Practice location

Address
10209 SE Sunnyside Rd., Clackamas, OR 97015
Phone
(503) 353-3900
Fax
(503) 353-3903
Mailing address
12345 SE Bybee Blvd, Portland, OR 97236-5013

Registered specialties (2)

Dental Hygienist Primary
Dental Providers Taxonomy 124Q00000X Licence H6304 (OR)
Dental Assistant
Dental Providers Taxonomy 126800000X Licence 113959 (OR)

Registry record

NPI
1043437148
Entity type
Individual
Sex (as registered)
Female
NPI issued
19 Apr 2007
Record last updated
25 Sep 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.