IndividualActive
Holly Mccormick, EFDA
NPI 1962668368 · Dental Assistant · Beaverton, OR
Provider details
- NPI number
- 1962668368
- Entity type
- Individual
- Primary specialty
- Dental AssistantDental Providers
- Credential
- EFDA
- Sex
- Female
- Sole proprietor
- No
- License
- A5404 (OR)
Specialties & taxonomies
Dental Providers
Practice location
17675 Sw Tualatin Valley Hwy
Beaverton, OR 97006-4443
Phone: (503) 259-3169
Approximate (ZIP-level) locationGet directions
Mailing address
51468 Se Oak Grove Dr
Scappoose, OR 97056-4428
Registry dates
- Enumerated
- 2008-08-05
- Last updated
- 2008-08-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.