Active NPI
Christina Lee Wilson, RDH,BSDH
- Dental Hygienist
- Beaverton, OR
National Provider Identifier
1154741445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- H5871
- Practice address
- 4925 SW Griffith Dr
Beaverton, OR 97005-2923 - Phone
- (503) 277-2014
- NPI assigned
- Apr 24, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | H5871 | OR | Primary |
Addresses
Primary practice location
4925 SW Griffith Dr
Beaverton, OR 97005-2923
Mailing address
6160 SE Frances St
Hillsboro, OR 97123-6435
Phone (503) 869-7859
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H5871 | OR | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398297600000",
"number": "1154741445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6160 SE FRANCES ST",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971236435",
"telephone_number": "503-869-7859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4925 SW GRIFFITH DR",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970052923",
"telephone_number": "503-277-2014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "CHRISTINA",
"middle_name": "LEE",
"name_prefix": "Miss",
"credential": "RDH,BSDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-24",
"last_updated": "2014-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "OR",
"license": "H5871",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.