Individual
JODEE WALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
5527 CARDIFF ST, EUGENE, OR 97402-7549
(541) 554-2777
Mailing address
5527 CARDIFF ST, EUGENE, OR 97402-7549
(541) 554-2777
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H5440
OR
Other
Enumeration date
06/17/2013
Last updated
06/17/2013
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