Individual
FROSINA CHERNISHOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
822 PANA ST, WOODBURN, OR 97071-5585
(503) 951-9321
Mailing address
822 PANA ST, WOODBURN, OR 97071-5585
(503) 951-9321
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H7847
OR
Other
Enumeration date
11/07/2019
Last updated
12/23/2021
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