Provider Demographics
NPI:1932704137
Name:VARNER, ERIN (RDH)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:VARNER
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 1:1000 W COLUMBIA WAY UNIT 234
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98660-3625
Mailing Address - Country:US
Mailing Address - Phone:360-904-1532
Mailing Address - Fax:
Practice Address - Street 1:1000 W COLUMBIA WAY UNIT 234
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98660-3625
Practice Address - Country:US
Practice Address - Phone:360-904-1532
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-03
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60676442124Q00000X
174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No124Q00000XDental ProvidersDental Hygienist