IndividualActive
Andrea Wilkie, RDH
NPI 1790900413 · Dental Hygienist · Portland, OR
Provider details
- NPI number
- 1790900413
- Entity type
- Individual
- Primary specialty
- Dental HygienistDental Providers
- Credential
- RDH
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Dental Providers
- Dental Assistant126800000X
Dental Providers
Practice location
10102 Ne Glisan St
Portland, OR 97220-4456
Phone: (503) 257-5959
Approximate (ZIP-level) locationGet directions
Mailing address
4936 Se 108th Ave
Portland, OR 97266-3408
Registry dates
- Enumerated
- 2007-04-16
- Last updated
- 2012-09-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.