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NPI 1205779014

IndividualActive

Brandon Herinckx

NPI 1205779014 · Dental Assistant · Tigard, OR

Provider details

NPI number: 1205779014
Entity type: Individual
Primary specialty: Dental AssistantDental Providers
Sex: Male
Sole proprietor: No

Practice location

7105 Sw Hampton St

Tigard, OR 97223-8314

Phone: (503) 813-2000

More OR providers

Mailing address

7105 Sw Hampton St

Tigard, OR 97223-8314

Registry dates

Enumerated: 2026-04-14
Last updated: 2026-04-14

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

Brandon Herinckx — NPI 1205779014, Tigard, OR | NPI Central