Individual
MRS. SARAH PAUL FAWVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
822 NE 181ST, PORTLAND, OR 97230
(503) 661-5210
Mailing address
29325 SE HILLYARD DR, BORING, OR 97009
(503) 658-3982
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
1711
OR
Other
Enumeration date
09/21/2006
Last updated
07/08/2007
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