Individual
TRACY CAMPOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EPDH
Contact information
Practice address
20323 SW BLAINE ST, ALOHA, OR 97003
(503) 476-5727
Mailing address
20323 SW BLAINE ST, ALOHA, OR 97003
(503) 476-5727
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H6377
OR
Other
Enumeration date
05/05/2015
Last updated
05/05/2015
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