Individual
ANNA HAILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
12600 SW CRESCENT ST STE 190, BEAVERTON, OR 97005-1694
(503) 352-6000
Mailing address
3518 SW BEAVERTON HILLSDALE HWY, PORTLAND, OR 97221-3810
(503) 858-8148
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H8871
OR
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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