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General NPI Number Information
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NPI Number | 1881519668
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Entity Type | Individual
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Provider Name | SYDNEY NICOLE ORTEGA RDH, BSDH, EPDH
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Gender | Female
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Dates
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Enumeration Date | 08/11/2026
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Last Update Date | 08/11/2026
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Provider Practice Location Address
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Address Line | 930 NW 14TH AVE STE 220
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City | PORTLAND
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State | OR
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Zip | 97209-2730
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Country | US
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Telephone | 503-889-8632
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Fax |
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Provider Business Mailing Address
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Address Line | 14673 SW 152ND AVE
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City | PORTLAND
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State | OR
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Zip | 97224-1894
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Country | US
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Telephone | 510-673-1307
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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 | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number |
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License Number State | OR
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