Reagan R Blanco
Dental Assistant in Beaverton, Oregon
1043857105- Practice location
- 4855 SW Western Ave, Beaverton, OR 97005-3460
- Phone
- 503-813-2000
- Fax
- —
- Last updated
- December 6, 2019
Reagan R Blanco is a Dental Assistant based in Beaverton, OR. The NPI number for Reagan R Blanco is 1043857105 and holds license No. 122012 (OR). The current practice location address is 4855 SW Western Ave, Beaverton, OR 97005-3460 and the office can be reached by phone at 503-813-2000. The NPI was assigned on December 6, 2019 and the record was last updated in NPPES on December 6, 2019.
●Provider Profile Details
- NPI Number
- 1043857105
- Provider Name
- Reagan Ravanzo Blanco
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Female
- Primary Taxonomy
- Dental Assistant · 126800000X
- Sole Proprietor
- No
- Enumeration Date
- December 6, 2019
- Last Update Date
- December 6, 2019
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 4855 SW Western Ave
Beaverton, OR 97005-3460 - City
- Beaverton
- State
- Oregon
- ZIP
- 97005-3460
- Country
- US
- Phone Number
- 503-813-2000
✉Business Mailing Address
- Address
- 1771 SE Dowery Ln
Hillsboro, OR 97123-5090 - City
- Hillsboro
- State
- OR
- ZIP
- 97123-5090
- Phone Number
- 971-227-8773
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Dental Assistant | 126800000X | Yes | 122012 | OR |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
☉Other providers near Beaverton, OR
View all providers in Beaverton →?Frequently Asked Questions
What is the NPI number of Reagan R Blanco?
The NPI number of Reagan R Blanco is 1043857105. It was assigned on December 6, 2019 and is currently active in the NPPES registry.
What is the specialty of Reagan R Blanco?
Reagan R Blanco is registered under the primary taxonomy Dental Assistant (code 126800000X) and holds license No. 122012 (OR).
Where does Reagan R Blanco practice?
The practice location is 4855 SW Western Ave, Beaverton, OR 97005-3460. The office can be reached at 503-813-2000 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043857105 directly on the NPPES registry website at npiregistry.cms.hhs.gov.