Individual
BREANNA AILEEN VOGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1890 NE 162ND AVE, PORTLAND, OR 97230-5642
(503) 257-9836
Mailing address
1890 NE 162ND AVE, PORTLAND, OR 97230-5642
(503) 257-9836
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H8897
OR
Other
Enumeration date
05/29/2025
Last updated
05/29/2025
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