Individual
ANN PERONT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
410 NE 181ST AVE, PORTLAND, OR 97230-6666
(800) 683-0855
Mailing address
410 NE 181ST AVE, PORTLAND, OR 97230-6666
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H1590
OR
Other
Enumeration date
08/22/2011
Last updated
08/22/2011
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