Individual provider · Type 1 NPI

Sally D. Wiedeman, RDH

Dental Hygienist · Portland, OR

NPI number 1427420470 Active

Practice location

12750 SE Stark St Bldg E
Portland, OR 97233-1539

Call (971) 347-3009 Map

Fax (971) 256-3277

Mailing address

211 SE Caruthers St
Portland, OR 97214-4502

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000XH6804 (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 1427420470

Sally D. Wiedeman, RDH's National Provider Identifier is 1427420470, issued on Oct 28, 2015. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Portland, OR. The record was last updated on Aug 4, 2025.