Individual
SIMONA HUTANU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17675 SW TUALATIN VALLEY HWY, BEAVERTON, OR 97006-4443
(503) 259-3160
Mailing address
15875 SW KESTREL CT, BEAVERTON, OR 97007-9200
(503) 515-9013
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H5122
OR
Other
Enumeration date
11/30/2006
Last updated
07/08/2007
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