Individual
ALLYSON ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3000 MARKET ST NE STE 228, SALEM, OR 97301-1803
(800) 525-6800
Mailing address
3530 SW LAVA AVE APT 321, REDMOND, OR 97756-6959
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H7827
OR
Other
Enumeration date
07/17/2019
Last updated
07/17/2019
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