Active NPIIndividual provider

Mrs. Kristin A Bazor, RDH

Dental Hygienist in Beaverton, Oregon

NPI Number1073615316
Practice location
4855 SW Western Ave, Beaverton, OR 97005-3499
Fax
503-626-4412
Last updated
July 8, 2007

Kristin A Bazor is a Dental Hygienist based in Beaverton, OR. Kristin A Bazor practices in Beaverton, OR and has the professional credentials of RDH. The NPI Number for Kristin A Bazor is 1073615316 and holds a License No. H2588 (OR). The current practice location address for Kristin A Bazor is 4855 SW Western Ave, Beaverton, OR 97005-3499 and can be reached out via phone at 503-626-4148 and via fax at 503-626-4412.

Provider Profile Details

NPI Number
1073615316
Provider Name
Kristin A Bazor
Credential
RDH
Provider Entity Type
Individual
Gender
Female
Address
4855 SW Western Ave, Beaverton, OR 97005-3499
Phone Number
503-626-4148
Fax Number
503-626-4412
Primary Taxonomy
Dental Hygienist · 124Q00000X
Sole Proprietor
No
Provider Enumeration Date
September 5, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
4855 SW Western Ave
Beaverton, OR 97005-3499
State
Oregon
Zip
97005-3499
Phone Number
503-626-4148
Fax Number
503-626-4412
Beaverton, OR 97005Get directions →

Provider Business Mailing Address Details

Address
19881 SW Grove Ln
Beaverton, OR 97007
City
Beaverton
State
OR
Zip
97007
Phone Number
503-628-9115

License Information

License Number
H2588
License State
OR
Taxonomy
Dental Hygienist · 124Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Kristin A Bazor, RDH?

The NPI number of Mrs. Kristin A Bazor, RDH is 1073615316. It was assigned on September 5, 2006 and is currently active in the NPPES registry.

What is the specialty of Mrs. Kristin A Bazor, RDH?

Mrs. Kristin A Bazor, RDH is registered under the primary taxonomy Dental Hygienist (code 124Q00000X), licensed in OR under license number H2588.

Where does Mrs. Kristin A Bazor, RDH practice?

The practice location is 4855 SW Western Ave, Beaverton, OR 97005-3499. The office can be reached at 503-626-4148 (phone) or 503-626-4412 (fax).

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 1073615316 directly on the NPPES registry website.

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