Individual
JEAN MCCLOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2300 LANCASTER DR NE, SALEM, OR 97305-1223
(503) 370-4313
Mailing address
5457 E RIDGE ST S, SALEM, OR 97306-2265
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H3708
OR
Other
Enumeration date
01/18/2008
Last updated
01/18/2008
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