Lacey Brynelson, EFDA
Dental Assistant in Clackamas, OR. Individual provider (NPI-1).
NPI number1376468918
StatusActive
Last updated in NPPESAug 12, 2026
Details
- NPI
- 1376468918
- Entity type
- Individual (NPI-1)
- Name
- Lacey Brynelson
- Credential
- EFDA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 12, 2026
- Certification date
- Aug 12, 2026
- Last updated
- Aug 12, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 126800000X | Dental Assistant | – | OR | Yes |
Practice location
10209 Se Sunnyside RdClackamas, OR 97015-9782
Phone 800-813-2000
Mailing address
10209 Se Sunnyside RdClackamas, OR 97015-9782
Phone 800-813-2000
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All 27 Dental Assistant providers in Clackamas · All 2,438 providers in Clackamas
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