Individual provider · Type 1 NPI

Stephanie Michelle Keller

Dental Assistant · Beaverton, OR

NPI number 1851410583 Active

Practice location

17675 SW Tualatin Valley Hwy
Beaverton, OR 97006-4443

Mailing address

52248 SE Endicott Ln
Scappoose, OR 97056-3311

Specialties and licenses

TaxonomyCodeLicense
Dental Assistant Primary 126800000X113652 (OR)

Dental Assistant: An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the d…

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About NPI 1851410583

Stephanie Michelle Keller's National Provider Identifier is 1851410583, issued on Mar 27, 2007. The primary taxonomy on file is Dental Assistant (126800000X), and the practice location is in Beaverton, OR. The record was last updated on Jul 8, 2007.