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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

REAGAN RAVANZO BLANCO

Active

REAGAN RAVANZO BLANCO is a Dental Assistant healthcare provider located in BEAVERTON, Oregon. NPI 1043857105 is currently active in the NPPES registry. Verify at CMS.

Dental Assistant · BEAVERTON, OR

Registration Details

NPI Number
1043857105
Provider Type
Individual
Gender
Female
NPI Issued
Dec 6, 2019 (6.7024997741169 yrs)
Last Updated
Dec 6, 2019
License
122012 (OR)

Practice Information

Address
4855 SW WESTERN AVE
BEAVERTON, OR, 970053460
Browse OR providers · Browse ZIP 97005
Phone
5038132000
Primary Specialty
Dental Assistant
126800000X

Other Dental Assistant Providers in BEAVERTON, OR

Name Credential NPI
MARZIA MOHAMMADY PTDA 1760493217
YVETTE MONIQUE MILLER PTDA 1154436525
NORMA LEE POTTER EFDA 1811009392
MRS. PATRICE M FOOTE 1912004276
LONI MARIE MCNAMARA EFDA 1245322882
ADRIANA GENIR SASSI 1053489195
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.