NPI 1366074387

Diamond Spigner, EFDA

Practitioner Dental Assistant Gresham, OR

Practice location

Address: 360 NW Burnside Rd, Gresham, OR 97030-3852
Phone: (503) 813-2000
Mailing address: 1527 SE 127th Ave, Portland, OR 97233-1274

Registered specialties

Dental Assistant Primary

Dental Providers Taxonomy 126800000X Licence 116543 (OR)

Other Dental Assistant providers in Oregon →

Registry record

NPI: 1366074387
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Feb 2020
Record last updated: 7 Feb 2020

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.