Andrea Marie Wilkie in Portland - Dental Assistant
Andrea Marie Wilkie - NPI 1790900413
Andrea Marie Wilkie is a Dental Assistant in Portland, Oregon. Andrea Marie Wilkie practices all healthcare services and medical treatments related to Dental Assistant. The NPI Number for Andrea Marie Wilkie is 1790900413. The last update date is 2012-09-20.
Andrea Marie Wilkie's current location address is 4936 Se 108th Ave, Portland, Oregon. You can contact this provider via phone number 5035192603. The mailing address for Andrea Marie Wilkie is 4936 Se 108th Ave, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Andrea Marie Wilkie |
|---|---|
| Address | 4936 Se 108th Ave, Portland, Oregon |
| Phone Number | 5035192603 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | RDH |
NPI Number Detail
| NPI Number | 1790900413 |
|---|---|
| Provider Enumeration Date | 2007-04-16 |
| Last Updated Date | 2012-09-20 |
Provider Mailing Address Detail
| Address | 4936 Se 108th Ave |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972663408 |
| Phone Number | 5035192603 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dental Assistant |
|---|---|
| Taxonomy | 126800000X |
|
Definition: 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. Th |
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What is the unique 10-digit identification code issued to Andrea Marie Wilkie by the Centers for Medicare & Medicaid Services?
The Andrea Marie Wilkie has been assigned the NPI (National Provider Identifier) 1790900413 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Andrea Marie Wilkie's physical address?
The Andrea Marie Wilkie is physically located at 4936 Se 108Th Ave, in the city of Portland, OR, with the postal code 972663408.
What is Andrea Marie Wilkie's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Andrea Marie Wilkie is Dental Assistant, and the taxonomy code that categorizes this field of expertise is 126800000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1790900413 to Andrea Marie Wilkie?
The Centers for Medicare & Medicaid Services originally issued the 1790900413 to Andrea Marie Wilkie on 2007-04-16.
As of what date were the details pertaining to Andrea Marie Wilkie last refreshed?
The information related to the Andrea Marie Wilkie, including its address, specialty, and other relevant details, was last updated on 2012-09-20.
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