Individual
MRS. OMA CASANDRA HAMPTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
7018 NE 10TH AVE, PORTLAND, OR 97211-4081
(503) 453-2077
Mailing address
7018 NE 10TH AVE, PORTLAND, OR 97211-4081
(503) 764-9041
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H4563
OR
124Q00000X
Dental Hygienist
—
—
Other
Enumeration date
08/09/2017
Last updated
08/09/2017
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