Lydia Trujillo Galan, EPDH
Individual provider Active NPI Dental Hygienist · Madras, OR
NPI 1982330767 · NPPES record last updated Jul 25, 2022
Key facts
- NPI
- 1982330767
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- H8421 (OR)
- Practice address
- 212 SW 4TH St Ste 101
Madras, OR 97741-1322 - Phone
- (971) 383-0948
- NPI assigned
- Jul 25, 2022
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| H8421 | OR | MD | Dental Hygienist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | H8421 | OR | Yes |
Addresses
Primary practice location
212 SW 4TH St Ste 101
Madras, OR 97741-1322
Mailing address
130 Jefferson Ave
Metolius, OR 97741-2310
Phone (541) 460-2002
Other names
- Lydia Galan-Lewis
Other providers in Madras, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.