IndividualActive
Diane Thorsen, CDA, EFDA, PTDA
NPI 1942212832 · Dental Assistant · Vancouver, WA
Provider details
- NPI number
- 1942212832
- Entity type
- Individual
- Primary specialty
- Dental AssistantDental Providers
- Credential
- CDA, EFDA, PTDA
- Sex
- Female
- Sole proprietor
- No
- License
- XRAY/EFDA # A10170 (OR)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
12711 Se Mill Plain Blvd
Vancouver, WA 98684-6053
Phone: (360) 896-4484
Fax: (360) 896-4489
Approximate (ZIP-level) locationGet directions
Mailing address
12711 Se Mill Plain Blvd
Vancouver, WA 98684-6053
Registry dates
- Enumerated
- 2006-08-12
- Last updated
- 2007-07-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.