Jayme Elizabeth Hauck, RDH
Dental Hygienist in Portland, OR. Individual provider (NPI-1).
NPI number1124455852
StatusActive
Last updated in NPPESSep 26, 2013
Details
- NPI
- 1124455852
- Entity type
- Individual (NPI-1)
- Name
- Jayme Elizabeth Hauck
- Credential
- RDH
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 26, 2013
- Last updated
- Sep 26, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 124Q00000X | Dental Hygienist | H6548 | OR | Yes |
Practice location
1809 Se Hawthorne Blvd Apt 112Portland, OR 97214-3856
Phone 541-231-2569
Mailing address
1809 Se Hawthorne Blvd Apt 112Portland, OR 97214-3856
Phone 541-231-2569
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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