NPI 1205779014

Brandon Herinckx

Practitioner Dental Assistant Tigard, OR

Practice location

Address: 7105 SW Hampton St, Tigard, OR 97223-8314
Phone: (503) 813-2000

Registered specialties

Dental Assistant Primary

Dental Providers Taxonomy 126800000X

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Registry record

NPI: 1205779014
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Apr 2026
Record last updated: 14 Apr 2026

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.