Provider Demographics
NPI:1851176432
Name:NORLIN, SIERRA JEAN (DMD)
Entity Type:Individual
Prefix:DR
First Name:SIERRA
Middle Name:JEAN
Last Name:NORLIN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28122 S BAURER RD
Mailing Address - Street 2:
Mailing Address - City:COLTON
Mailing Address - State:OR
Mailing Address - Zip Code:97017-9605
Mailing Address - Country:US
Mailing Address - Phone:971-400-9028
Mailing Address - Fax:
Practice Address - Street 1:310 E CHARLES ST
Practice Address - Street 2:
Practice Address - City:MOUNT ANGEL
Practice Address - State:OR
Practice Address - Zip Code:97362-9657
Practice Address - Country:US
Practice Address - Phone:503-845-2273
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-30
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORD118531223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice