Provider Demographics
NPI:1891826954
Name:DEES, RACHEL CHRISTINA (EFDA,PTDA)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:CHRISTINA
Last Name:DEES
Suffix:
Gender:F
Credentials:EFDA,PTDA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11410 SE 90TH AVE
Mailing Address - Street 2:APT#1515
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97266-8609
Mailing Address - Country:US
Mailing Address - Phone:503-353-3900
Mailing Address - Fax:
Practice Address - Street 1:10209 SE SUNNYSIDE RD
Practice Address - Street 2:KAISER CLACKAMAS DENTAL OFFICE
Practice Address - City:CLACKAMAS
Practice Address - State:OR
Practice Address - Zip Code:97015-9782
Practice Address - Country:US
Practice Address - Phone:503-353-3900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes126800000XDental ProvidersDental Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR843OtherPTDA