Individual provider · Type 1 NPI

Larissa Vanderwall

Dental Assistant · Tigard, OR

NPI number 1043854110 Active

Practice location

7105 SW Hampton St
Tigard, OR 97223-8314

Call (503) 684-9274 Map

Specialties and licenses

TaxonomyCodeLicense
Dental Assistant Primary 126800000XNone listed

Dental Assistant: An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the d…

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About NPI 1043854110

Larissa Vanderwall's National Provider Identifier is 1043854110, issued on Nov 1, 2019. The primary taxonomy on file is Dental Assistant (126800000X), and the practice location is in Tigard, OR. The record was last updated on Nov 1, 2019.