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

Kim Phan, RDH

Individual provider Dental Hygienist · NPI 1851787394

Kim Phan, RDH is a Dental Hygienist in Portland, Oregon. Works from 2 locations. Licensed in California, Oregon and Washington.

Licensed in
CA, OR, WA
In the registry since
2015
Specialties on file
3
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

1130 SW Morrison St Ste 450
Portland, OR 97205-2276
Phone: (503) 227-4410
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 14406 Ne 20th Ave, Vancouver, WA 98686-1448 — (800) 813-2000

Specialties & licences

Dental Hygienist (primary) Taxonomy 124Q00000X · Licence DH60350549 (WA)
Dental Hygienist Taxonomy 124Q00000X · Licence 27405 (CA)
Dental Hygienist Taxonomy 124Q00000X · Licence H6453 (OR)

Record details

NPI number1851787394
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDH
Sole proprietorNo
NPI enumeratedApril 11, 2015
Last updated in NPPESNovember 27, 2020
Certification dateNovember 27, 2020
Mailing address11410 Sw Lynnvale Drive, Portland, OR 97225

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