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

Reagan Ravanzo Blanco

Individual provider Dental Assistant · NPI 1043857105

Reagan Ravanzo Blanco is a Dental Assistant in Beaverton, Oregon. Licensed in Oregon. Registered with an NPI since 2019.

Licensed in
OR
In the registry since
2019

Practice location Address checks out

4855 SW Western Ave
Beaverton, OR 97005-3460
Phone: (503) 813-2000
Show map & directions

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

Specialties & licences

Dental Assistant (primary) Taxonomy 126800000X · Licence 122012 (OR)

Record details

NPI number1043857105
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 6, 2019
Last updated in NPPESDecember 6, 2019

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