Healthcare Provider Details

I. General information

NPI: 1245096130
Provider Name (Legal Business Name): STEPHANIE ANN ZUERCHER RDH, EPDH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2024
Last Update Date: 02/27/2024
Certification Date: 02/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2708 SANTIAM HWY SE
ALBANY OR
97322-5251
US

IV. Provider business mailing address

2708 SANTIAM HWY SE
ALBANY OR
97322-5251
US

V. Phone/Fax

Practice location:
  • Phone: 541-928-1635
  • Fax:
Mailing address:
  • Phone: 541-928-1635
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License NumberH7676
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: