Provider Demographics
NPI:1164831871
Name:CAYSON, BRITTNEY R (RDH)
Entity Type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:R
Last Name:CAYSON
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2517 SE 179TH AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97236-1035
Mailing Address - Country:US
Mailing Address - Phone:503-761-4001
Mailing Address - Fax:
Practice Address - Street 1:2517 SE 179TH AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97236-1035
Practice Address - Country:US
Practice Address - Phone:503-761-4001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-06
Last Update Date:2021-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORH6755124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist