Individual provider · Type 1 NPI

Michelle Monserrat Mendoza Nicolas

Student in an Organized Health Care Education/Training Program · Beaverton, OR

NPI number 1336865476 Active

Practice location

1582 SW 172nd Ter Unit 407
Beaverton, OR 97003-4299

Call (503) 884-5210 Map

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist 124Q00000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1336865476

Michelle Monserrat Mendoza Nicolas's National Provider Identifier is 1336865476, issued on Oct 19, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Beaverton, OR. The record was last updated on Oct 19, 2022.