person
Sally D Wiedeman, RDH
Dental Hygienist in Portland, Oregon
NPI 1427420470

Sally D Wiedeman is a Dental Hygienist based in Portland, OR. Sally D Wiedeman practices in Portland, OR and has the professional credentials of RDH. The NPI Number for Sally D Wiedeman is 1427420470 and holds a License No. H6804 (Oregon).

The current practice location address for Sally D Wiedeman is 12750 Se Stark St Bldg E, Portland, OR and can be reached out via phone at 971-347-3009 and via fax at 971-256-3277. You can also correspond with Sally D Wiedeman through the mailing address at 1776 SW MADISON ST, PORTLAND, OR - 97205-1715 (mailing address contact number: 503-224-1044).

Location: 12750 Se Stark St Bldg E, Portland, OR, 97205-1715
person
Provider Profile Details
NPI Number
1427420470
Provider Name
Sally D Wiedeman
Credential
RDH
Provider Entity Type
Individual
Gender
Female
Address
12750 Se Stark St Bldg E, Portland, OR, 97205-1715
Phone Number
971-347-3009
Fax Number
971-256-3277
Provider Enumeration Date
10/28/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500695952 05 OR
institution
Provider Business Practice Location Address Details
Address
12750 Se Stark St Bldg E
City
State
Zip
97233-1539
Phone Number
971-347-3009
Fax Number
971-256-3277
person
Provider Business Mailing Address Details
Address
12750 Se Stark St Bldg E
City
State
Zip
97233-1539
Phone Number
971-347-3009
Fax Number
971-256-3277
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dental Hygienist
Speciality
-
Taxonomy
License No.
H6804 (Oregon)
Definition
An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
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