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NPI Code Detail

MEDICARE: AMY TRAN RDH

MEDICARE:   AMY  TRAN  RDH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1124Q00000XDental Hygienist

General Provider Information

NPI Number : 1487364915
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY TRAN RDH
Provider Business Mailing Address
First Line : 110 BEAVERCREEK RD STE 100
Second Line :
City : OREGON CITY
State : OR
Zip : 97045-4307
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 110 BEAVERCREEK RD STE 100
Second Line :
City : OREGON CITY
State : OR
Zip : 97045-4307
Country : US
Telephone Number : 503-655-8471
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/23/2022
Last Update Date : 04/21/2026

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Directions to “ AMY TRAN RDH” Practice Location

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