Sally D Wiedeman is a Portland, Oregon based Hygienist who is specialized as Oral Hygienist. Active license number of Sally D Wiedeman is H6804 for Oral Hygienist in Oregon. Her current practice location is 12750 Se Stark St Bldg E, Portland. Patients can reach her at 971-347-3009. Sally D Wiedeman has completed an accredited dental hygiene education program, and has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions of dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
Complete Profile:
Sally D Wiedeman speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Sally D Wiedeman
Specialization:
Hygienist
Gender:
Female
Credentials:
RDH (Registered Dental Hygienist)
Practice Address:
12750 Se Stark St Bldg E, Portland, Oregon, 97233-1539
Phone:
971-347-3009
Fax:
971-256-3277
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1427420470
NPI Enumeration Date:
28 Oct, 2015
NPI Last Update On:
30 Aug, 2023
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Sally D Wiedeman are as mentioned below.
License Number
Specialization
State
Status
H6804
Oral Hygienist
Oregon
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Sally D Wiedeman such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
500695952
Medicaid
Oregon
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1776 Sw Madison St, Portland, Oregon
Zip:
97205-1715
Phone Number:
503-224-1044
Fax Number:
503-621-2235
Patients can reach Sally D Wiedeman at 12750 Se Stark St Bldg E, Portland, Oregon or can call to book an appointment on 971-347-3009. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.