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Tracy Brunkhorst — NPI 1205400256, Boring, OR | NPI Central

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Tracy Brunkhorst

NPI 1205400256 · Dental Hygienist · Boring, OR

Provider details

NPI number: 1205400256
Entity type: Individual
Primary specialty: Dental HygienistDental Providers
Sex: Female
Sole proprietor: Yes
License: H7355 (OR)

Specialties & taxonomies

Dental HygienistPrimary124Q00000XLicense H7355 (OR)
Dental Providers

Practice location

26551 Se Wally Rd

Boring, OR 97009-8487

Phone: (612) 419-5891

Approximate (ZIP-level) locationGet directions

More OR providers

Mailing address

26551 Se Wally Rd

Boring, OR 97009-8487

Registry dates

Enumerated: 2021-05-14
Last updated: 2021-05-14
Certified: 2021-05-14

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.