Larissa Vanderwall
Dental Assistant
7105 Sw Hampton St
Tigard
, Oregon 97223-8314
Larissa Vanderwall
Dental Assistant
7105 Sw Hampton St
Tigard
, Oregon 97223-8314
(503) 684-9274
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About
Features
Specialties
- Dental Assistant
Languages spoken
- English
Location
First Address
- Larissa Vanderwall
- 7105 Sw Hampton St
- Tigard, OR
- Zip : 97223-8314
- Phone : (503) 684-9274
Second Address
- Larissa Vanderwall
- 7105 Sw Hampton St
- Tigard, OR
- Zip : 97223-8314
- Phone : (503) 684-9274
Reviews
FAQs
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What type of doctor is Larissa Vanderwall
In what state does Larissa Vanderwall practice in?
Where is Larissa Vanderwall ’s practice located?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 126800000X | Dental Assistant |
National Provider Identifier
| NPI | 1043854110 |
|---|---|
| Provider Name | Larissa Vanderwall |
| First Address | Tigard, OR 97223-8314 |
| Second Address | Tigard, OR 97223-8314 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/11/2019 |
| Last Update Date | 01/11/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.