IndividualActive
Diamond Spigner, EFDA
NPI 1366074387 · Dental Assistant · Gresham, OR
Provider details
- NPI number
- 1366074387
- Entity type
- Individual
- Primary specialty
- Dental AssistantDental Providers
- Credential
- EFDA
- Sex
- Female
- Sole proprietor
- No
- License
- 116543 (OR)
Specialties & taxonomies
Dental Providers
Practice location
360 Nw Burnside Rd
Gresham, OR 97030-3852
Phone: (503) 813-2000
Approximate (ZIP-level) locationGet directions
Mailing address
1527 Se 127th Ave
Portland, OR 97233-1274
Registry dates
- Enumerated
- 2020-02-07
- Last updated
- 2020-02-07
- Certified
- 2020-02-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.