Individual
BRIANNA KAY WINTER HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1951 OAK ST STE A, FOREST GROVE, OR 97116-2005
(503) 357-9122
Mailing address
1951 OAK ST STE A, FOREST GROVE, OR 97116-2005
(503) 357-9122
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H6578
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D6578
OREGON BOARD OF DENTISTRY
OR
Enumeration date
09/02/2024
Last updated
09/02/2024
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