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

Individual provider Dental Hygienist · NPI 1386731792

Bouakeo Wagner, RDH is a Dental Hygienist in Salem, Oregon. Licensed in Oregon. Registered with an NPI since 2006.

Licensed in
OR
In the registry since
2006
What do these letters mean?
RDH — Registered Dental Hygienist
A licensed hygienist who cleans teeth and screens for oral disease.

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Practice location Address checks out

190 Kingwood Ave NW
Salem, OR 97304-4030
Phone: (503) 315-0712
Fax: (503) 315-0721
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Hygienist (primary) Taxonomy 124Q00000X · Licence H4345 (OR)

Record details

NPI number1386731792
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDH
Sole proprietorNo
NPI enumeratedOctober 6, 2006
Last updated in NPPESJuly 8, 2007
Mailing address14670 Se Salmon St, Portland, OR 97233-2568

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