Provider Demographics
NPI:1598399396
Name:WORTHEY, BARBARA ANGELA (RDH)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:ANGELA
Last Name:WORTHEY
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:ANGELA
Other - Last Name:BROWNING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:15718 NE 20TH PL
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98686-6436
Mailing Address - Country:US
Mailing Address - Phone:360-581-6761
Mailing Address - Fax:
Practice Address - Street 1:1050 SW 6TH AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97204-1156
Practice Address - Country:US
Practice Address - Phone:503-222-5355
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-02
Last Update Date:2020-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORH7775124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist