Individual provider · Type 1 NPI
Marissa Gardner
Other Technician · Coos Bay, OR
NPI number
1306332010
Active
Practice location
1245 Fulton Ave
Coos Bay, OR 97420-2895
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Therapist | 125J00000X | DT0005 (OR) |
| Other Technician Primary | 247200000X | None listed |
Other Technician: A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
7 other providers at this address
- Confederated Tribes of Coos, Lower Umpqua, & Siuslaw IndiansDental Clinic/Center Coos Bay, OR NPI 1326889023
- Daryl K. Reavis, DMDDentist Coos Bay, OR NPI 1518342179
- Leslie HollingsworthDental Hygienist Coos Bay, OR NPI 1811731359
- Mary E. Williard, DDSDentist Coos Bay, OR NPI 1437285798
- Naomi Rachelle PetrieOther Technician Coos Bay, OR NPI 1215451661
- Patricia Anne Peyton, RDHDental Hygienist Coos Bay, OR NPI 1225229131
- Sarah Ann RodgersDentist Coos Bay, OR NPI 1396113007
Other other technician providers in Coos Bay
About NPI 1306332010
Marissa Gardner's National Provider Identifier is 1306332010, issued on Jul 5, 2018. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in Coos Bay, OR. The record was last updated on Sep 17, 2024.