Provider Demographics
NPI:1861531584
Name:MEIER, LINDA JEANNE (EFDA)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:JEANNE
Last Name:MEIER
Suffix:
Gender:F
Credentials:EFDA
Other - Prefix:MS
Other - First Name:LINDA
Other - Middle Name:JEANNE
Other - Last Name:HENIFIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:EFDA
Mailing Address - Street 1:2709 NW 6TH PL
Mailing Address - Street 2:P.O. BOX 915
Mailing Address - City:CAMAS
Mailing Address - State:WA
Mailing Address - Zip Code:98607-2529
Mailing Address - Country:US
Mailing Address - Phone:360-833-4694
Mailing Address - Fax:
Practice Address - Street 1:12711 SE MILL PLAIN BLVD
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98684-6053
Practice Address - Country:US
Practice Address - Phone:360-896-4484
Practice Address - Fax:360-896-4489
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes126800000XDental ProvidersDental Assistant