Robin Wendy Fatafehi, RDH, EPDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

H6359 Issued in OR

Practice address

20392 SW Blaine CT
Aloha, OR 97006-2115

Phone

(503) 440-2313

NPI assigned

Oct 15, 2012

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Miss Robin Wendy Ross Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Northwest Mobile Hygiene, LLC

  • Dental Hygienist
  • Aloha, OR
  • NPI 1124465372
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1350259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369094400000",
    "number": "1336491356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7014",
            "city": "ALOHA",
            "state": "OR",
            "postal_code": "970077014",
            "telephone_number": "503-440-2313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20392 SW BLAINE CT",
            "city": "ALOHA",
            "state": "OR",
            "postal_code": "970062115",
            "telephone_number": "503-440-2313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FATAFEHI",
        "first_name": "ROBIN",
        "middle_name": "WENDY",
        "name_prefix": "Mrs.",
        "credential": "RDH, EPDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-15",
        "last_updated": "2013-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "OR",
            "license": "H6359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBIN",
            "last_name": "ROSS",
            "middle_name": "WENDY",
            "prefix": "MISS",
            "credential": "RDH, EPDH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ingrid Evjen-Elias
• Eye Health Northwest P.C.
• William Fairchild
• Darryl D Farley, D.M.D., P.C.
• Leah P Farris
• Christopher Fife, MAC
• Kristen Michelle Fitzgerald
• Ashley Fitzpatrick
• Giselle Flores, MS
• Marcella Madeleine Flores, M.D.

• Dental Hygienist in Aloha, OR
• Providers in Aloha, OR by specialty
• Dental Hygienist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.