Organization
AT YOUR DOOR DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. N. ELAINE LANCASTER RDH (DENTAL HYGIENIST)
(503) 277-3270
Entity
Organization
Contact information
Practice address
25150 S. LARKIN RD., BEAVERCREEK, OR 97004
(503) 657-0392
Mailing address
PO BOX 976, BEAVERCREEK, OR 97004
(503) 657-0932
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H5272
OR
Other
Enumeration date
04/04/2014
Last updated
04/04/2014
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