MEDICARE: ALENA ALEKSANDROVNA VORONOVA 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
1	124Q00000X	Dental Hygienist	H7962	OR

General Provider Information

NPI Number	:	1487460978
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALENA ALEKSANDROVNA VORONOVA RDH

Provider Business Mailing Address
First Line	:	1900 MCLOUGHLIN BLVD STE 68
Second Line	:
City	:	OREGON CITY
State	:	OR
Zip	:	97045-1072
Country	:	US
Telephone Number	:	800-813-2000
Fax Number	:

Provider Business Practice Location Address
First Line	:	1900 MCLOUGHLIN BLVD STE 68
Second Line	:
City	:	OREGON CITY
State	:	OR
Zip	:	97045-1072
Country	:	US
Telephone Number	:	800-813-2000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/09/2024
Last Update Date	:	05/06/2026

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Directions to “ ALENA ALEKSANDROVNA VORONOVA RDH” Practice Location

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