NPI 1043854110

Larissa Vanderwall

Practitioner Dental Assistant Tigard, OR

Practice location

Address: 7105 SW Hampton St, Tigard, OR 97223-8314
Phone: (503) 684-9274

Registered specialties

Dental Assistant Primary

Dental Providers Taxonomy 126800000X

Other Dental Assistant providers in Oregon →

Registry record

NPI: 1043854110
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Nov 2019
Record last updated: 1 Nov 2019

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.