Augusta Alexander

Individual provider Active NPI Dental Hygienist · Klamath Falls, OR

NPI 1841786548 · NPPES record last updated Jul 5, 2018

Key facts

NPI
1841786548
Entity type
Individual (NPI type 1)
Primary specialty
Dental Hygienist 124Q00000X
License
H6451 (OR)
Practice address
2530 Shasta Way
Klamath Falls, OR 97601-4356
Phone
(541) 810-7040
NPI assigned
Jul 5, 2018
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
H6451ORMDDental Hygienist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X H6451 OR Yes

Addresses

Primary practice location

2530 Shasta Way
Klamath Falls, OR 97601-4356

Mailing address

5056 Glenwood Dr
Klamath Falls, OR 97603-8500
Phone (541) 891-5742

Other providers in Klamath Falls, OR

All providers in Klamath Falls, OR · Dental Hygienist in Oregon

Sources for this page

Verify at the official NPI Registry.