Individual
KAYLEE ANN PERLICHEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3000 MARKET ST NE, SALEM, OR 97301-1882
(800) 525-6800
(503) 581-0043
Mailing address
6895 SW NYBERG ST APT N203, TUALATIN, OR 97062-8326
(503) 507-2515
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H7935
OR
Other
Enumeration date
09/19/2019
Last updated
09/19/2019
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