Individual provider · Type 1 NPI

Miriam Fosburgh, RDH

Dental Hygienist · Tigard, OR

NPI number 1629510375 Active

Practice location

7105 SW Hampton St
Tigard, OR 97223-8314

Call (503) 286-6868 Map

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000XH3789 (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 1629510375

Miriam Fosburgh, RDH's National Provider Identifier is 1629510375, issued on Nov 11, 2016. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Tigard, OR. The record was last updated on Nov 11, 2016.