TRACY LYNNE BRUNKHORST
NPI 1205400256
Dental Hygienist in Boring, OR

Active since May 14, 2021
26551 SE WALLY RD, BORING, OR 97009(612) 419-5891 Get Directions Write a Review

NPPES record last updated: May 14, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Dental Hygienist

About TRACY BRUNKHORST

This page provides the complete NPI Profile along with additional information for Tracy Brunkhorst, a provider established in Boring, Oregon with a medical specialization in Dental Hygienist. The healthcare provider is registered in the NPI registry with number 1205400256 assigned on May 2021. The practitioner's primary taxonomy code is 124Q00000X with license number H7355 (OR). The provider is registered as an individual and her NPI record was last updated 5 years ago.

NPI
1205400256 Verify this NPI
Provider Name
TRACY LYNNE BRUNKHORST
Gender
Female
Entity Type
Individual
Location Address
26551 SE WALLY RD BORING, OR 97009
Location Phone
(612) 419-5891
Mailing Address
26551 SE WALLY RD BORING, OR 97009
Mailing Phone
(612) 419-5891
Is Sole Proprietor?
Yes
Enumeration Date
05-14-2021
Last Update Date
05-14-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dental Hygienist

Taxonomy Code
124Q00000X
Type
Dental Providers
License No.
H7355
License State
OR
Taxonomy Description
An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205400256, enumerated as an "individual" on May 14, 2021.

The provider is located at 26551 SE WALLY RD BORING, OR 97009 and the phone number is (612) 419-5891.

Dental Hygienist with taxonomy code 124Q00000X.