Individual
VANESSA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
10209 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9782
(800) 813-2000
Mailing address
4831 NE KILLINGSWORTH ST, PORTLAND, OR 97218-1936
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
8525
OR
124Q00000X
Dental Hygienist
DH61349379
WA
Other
Enumeration date
02/17/2023
Last updated
02/17/2023
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