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General NPI Number Information
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NPI Number | 1508297847
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Entity Type | Individual
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Provider Name | LINDSAY LYONS RDH, EFDA
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Gender | Female
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Dates
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Enumeration Date | 12/12/2013
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 3049 NE CLEVELAND AVE
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City | GRESHAM
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State | OR
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Zip | 97030-2952
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Country | US
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Telephone | 503-473-6838
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Fax |
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Provider Business Mailing Address
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Address Line | 3049 NE CLEVELAND AVE
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City | GRESHAM
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State | OR
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Zip | 97030-2952
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Country | US
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Telephone | 503-473-6838
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 126800000X
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Taxonomy Name | Dental Assistant
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License Number | 118921
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | H9027
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License Number State | OR
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