Rebecca Ann Witt
Dental Hygienist in Portland, OR. Individual provider (NPI-1).
NPI number1336734805
StatusActive
Last updated in NPPESMar 5, 2021
Details
- NPI
- 1336734805
- Entity type
- Individual (NPI-1)
- Name
- Rebecca Ann Witt
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 5, 2021
- Certification date
- Mar 5, 2021
- Last updated
- Mar 5, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 124Q00000X | Dental Hygienist | H4212 | OR | Yes |
Practice location
500 Ne Multnomah StPortland, OR 97232-2023
Phone 877-221-8221
Mailing address
2061 Nirvana StEugene, OR 97401-4989
Phone 541-517-7027
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