Individual
LINDA SUE MANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
4605 CROISAN SCENIC WAY S, SALEM, OR 97302-2244
(503) 540-8841
Mailing address
4605 CROISAN SCENIC WAY S, SALEM, OR 97302-2244
(503) 540-8841
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H3321
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274828
—
OR
Enumeration date
01/09/2007
Last updated
07/08/2007
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