Individual provider · Type 1 NPI

Tara Lynn Hendrickson, RDH, EPDH

Dental Hygienist · Salem, OR

NPI number 1083982672 Active

Practice location

3000 Market St NE, Suite 228
Salem, OR 97301-1882

Call (503) 585-5205 Map

Mailing address

12830 Maxfield Creek Rd
Monmouth, OR 97361-9424

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000XH6116 (OR)

Dental Hygienist: An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and…

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About NPI 1083982672

Tara Lynn Hendrickson, RDH, EPDH's National Provider Identifier is 1083982672, issued on Dec 9, 2011. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Salem, OR. The record was last updated on Dec 9, 2011.