IndividualActive
Corrine Robideau, DENTAL ASSISTANT
NPI 1679906937 · Dental Assistant · Gresham, OR
Provider details
- NPI number
- 1679906937
- Entity type
- Individual
- Primary specialty
- Dental AssistantDental Providers
- Credential
- DENTAL ASSISTANT
- Sex
- Female
- Sole proprietor
- No
- License
- 119737 (OR)
Specialties & taxonomies
Dental Providers
Practice location
22208 S.e Ash
Gresham, OR 97030
Phone: (503) 935-4667
Approximate (ZIP-level) locationGet directions
Mailing address
22208 S.e Ash
Gresham, OR 97030
Registry dates
- Enumerated
- 2013-08-09
- Last updated
- 2013-08-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.