Individual provider · Type 1 NPI

Lubov Maria Fultz

Dental Hygienist · Hillsboro, OR

NPI number 1154579092 Active

Practice location

19075 NW Tanasbourne Dr Ste 300
Hillsboro, OR 97124-5802

Fax (503) 531-1704

Mailing address

13470 SW Tulip Ct
Beaverton, OR 97008-5017

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000XH5472 (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 1154579092

Lubov Maria Fultz's National Provider Identifier is 1154579092, issued on Sep 4, 2008. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Hillsboro, OR. The record was last updated on Sep 4, 2008.