Charlene Renee Walloch in Vancouver - Dental Hygienist
Charlene Renee Walloch - NPI 1740203165
Charlene Renee Walloch is a Dental Hygienist in Vancouver, Washington. Charlene Renee Walloch practices all healthcare services and medical treatments related to Dental Hygienist. The NPI Number for Charlene Renee Walloch is 1740203165. The last update date is 2007-07-08.
Charlene Renee Walloch's current location address is 1509 Nw 137th St, Vancouver, Washington. You can contact this provider via phone number 3605713139 and fax number 3605713149. The mailing address for Charlene Renee Walloch is 1509 Nw 137th St, Vancouver, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charlene Renee Walloch |
|---|---|
| Address | 1509 Nw 137th St, Vancouver, Washington |
| Phone Number | 3605713139 |
| Fax Number | 3605713149 |
| Sole Proprietor | Y |
| Credentials | R.D.H. |
NPI Number Detail
| NPI Number | 1740203165 |
|---|---|
| Provider Enumeration Date | 2006-07-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1509 Nw 137th St |
|---|---|
| City | Vancouver |
| State | Washington (WA) |
| Post Code | 986851805 |
| Phone Number | 3605713139 |
| Fax Number | 3605713149 |
Provider's Primary Taxonomy Detail
| Speciality | Dental Hygienist |
|---|---|
| Taxonomy | 124Q00000X |
| Licence No | DH00004252 |
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Definition: 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 |
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What is the Charlene Renee Walloch's unique identification number?
The Charlene Renee Walloch has been assigned the NPI (National Provider Identifier) Number 1740203165 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Charlene Renee Walloch's facilities are geographically located?
The facilities of Charlene Renee Walloch are physically situated at the following location: 1509 Nw 137Th St, Vancouver, WA, 986851805.
What is the area of specialization for Charlene Renee Walloch, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Charlene Renee Walloch is Dental Hygienist, and the corresponding taxonomy code that categorizes this area of expertise is 124Q00000X.
On what date did Charlene Renee Walloch receive its 1740203165 assignment from the Centers for Medicare & Medicaid Services?
The Charlene Renee Walloch was assigned its 1740203165 on 2006-07-26, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Charlene Renee Walloch last refreshed?
The information related to the Charlene Renee Walloch, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY