Individual provider · Type 1 NPI

Magdalene Cockrum

Dental Hygienist · Portland, OR

NPI number 1629972450 Active

Practice location

3710 SW US Veterans Hospital Rd
Portland, OR 97239-2964

Call (503) 220-8262 Map

Mailing address

11217 NW 4th Ct
Vancouver, WA 98685-4136

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000XNone listed

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 1629972450

Magdalene Cockrum's National Provider Identifier is 1629972450, issued on Oct 6, 2026. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Portland, OR. The record was last updated on Oct 6, 2026.