Individual
MRS. RACHEL LYNN PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
10209 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9782
(503) 353-3900
Mailing address
6610 NE 25TH AVE, PORTLAND, OR 97211-5906
(503) 593-0007
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H5955
OR
Other
Enumeration date
08/30/2013
Last updated
10/02/2015
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