Provider Demographics
NPI:1912621558
Name:PARDI, ADAIR CHRISTINE (RDH, EPDH)
Entity Type:Individual
Prefix:
First Name:ADAIR
Middle Name:CHRISTINE
Last Name:PARDI
Suffix:
Gender:F
Credentials:RDH, EPDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7566 CAROLINA LN
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98664-2155
Mailing Address - Country:US
Mailing Address - Phone:253-350-2568
Mailing Address - Fax:
Practice Address - Street 1:222 SE 8TH AVE STE 271
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97123-4218
Practice Address - Country:US
Practice Address - Phone:503-352-7373
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-27
Last Update Date:2022-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADH61204993124Q00000X
ORH8311124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist