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NPI 1295464584

IndividualActive

Amy Chan

NPI 1295464584 · Dental Hygienist · Portland, OR

Provider details

NPI number: 1295464584
Entity type: Individual
Primary specialty: Dental HygienistDental Providers
Sex: Female
Sole proprietor: No
License: H8108 (OR)

Practice location

1314 Ne Grand Ave

Portland, OR 97232-1127

Phone: (503) 286-6868

More OR providers

Mailing address

13689 Se Scenic Ridge Dr

Clackamas, OR 97015-7537

Registry dates

Enumerated: 2022-06-10
Last updated: 2022-06-10

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

Amy Chan — NPI 1295464584, Portland, OR | NPI Central