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Vanessa Rodriguez, RDH

Dental Hygienist in Clackamas, OR. Individual provider (NPI-1).

NPI number1982302089
StatusActive
Last updated in NPPESFeb 17, 2023

Details

NPI
1982302089
Entity type
Individual (NPI-1)
Name
Vanessa Rodriguez
Credential
RDH
Sex
Female
Sole proprietor
No
Enumeration date
Feb 17, 2023
Certification date
Feb 17, 2023
Last updated
Feb 17, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
124Q00000X Dental Hygienist8525ORYes
124Q00000X Dental HygienistDH61349379WA

Practice location

10209 Se Sunnyside Rd
Clackamas, OR 97015-9782

Phone 800-813-2000

Mailing address

4831 Ne Killingsworth St
Portland, OR 97218-1936

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