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

Katie Lynn Vandiver, DENTALHYGIENIST

Individual provider Dental Hygienist · NPI 1407581242

Katie Lynn Vandiver, DENTALHYGIENIST is a Dental Hygienist in Lebanon, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2022

Practice location Address checks out

37389 Scott Dr
Lebanon, OR 97355-9596
Phone: (541) 990-9625
Show map & directions

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

Specialties & licences

Dental Hygienist (primary) Taxonomy 124Q00000X · Licence H4783 (OR)

Record details

NPI number1407581242
Entity typeIndividual (Type 1)
GenderFemale
Credentials DENTALHYGIENIST
Sole proprietorYes
NPI enumeratedJuly 17, 2022
Last updated in NPPESJuly 17, 2022
Certification dateJuly 16, 2022