Individual provider · Type 1 NPI

Chawannut Kelley, RDH

Dental Hygienist · Portland, OR

NPI number 1174313258 Active

Practice location

520 NW Lost Springs Ter Ste 408
Portland, OR 97229-6660

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000XH8972 (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 1174313258

Chawannut Kelley, RDH's National Provider Identifier is 1174313258, issued on May 12, 2025. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Portland, OR. The record was last updated on May 12, 2025.