EVERGREEN MYOHABITS LLC NPI 1457043119

NPI Information

  • NPI: 1457043119
  • Provider Name: EVERGREEN MYOHABITS LLC
  • Classification: Dental Hygienist - 124Q00000X
  • Entity Type: Organization
  • Address: 701 NE 136TH AVE STE 200
    VANCOUVER, WA
    ZIP 98684
  • Phone: (360) 448-1830

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NPI Details

EVERGREEN MYOHABITS LLC is a dental hygienist in Vancouver, WA. The provider is 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. EVERGREEN MYOHABITS LLC NPI is 1457043119. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

701 NE 136TH AVE STE 200
VANCOUVER, WA
ZIP 98684-937
Phone: (360) 448-1830

The provider's authorized official is Yelena Likhatskiy .
The authorized official title is Myofunctional Therapist and has the following contact phone number (360) 448-1830.

The enumeration date for this NPI number is 5/22/2023 and was last updated on 5/26/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1124Q00000XDental HygienistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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