Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kaiser Permanente Dental Care Program

Organization Dental Hygienist · NPI 1043224678

Kaiser Permanente Dental Care Program is a Dental Hygienist in Vancouver, Washington. Licensed in Washington. Registered with an NPI since 2006.

Licensed in
WA
In the registry since
2006

Practice location Address checks out

12711 SE Mill Plain Blvd
Vancouver, WA 98684-6053
Phone: (360) 896-4484
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Hygienist (primary) Taxonomy 124Q00000X · Licence DH00004025 (WA)

Record details

NPI number1043224678
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jodeen Callaghan — Professional Director, Cascade Park · (360) 896-4484
NPI enumeratedJuly 28, 2006
Last updated in NPPESMay 24, 2021
Certification dateMay 24, 2021
Mailing address510 W 34th St, Vancouver, WA 98660-1811

Other providers in Vancouver