Individual
MS. JACQUELINE REE FARLINGER-KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
5025 SE 28TH AVE, PORTLAND, OR 97202-4445
(503) 238-4418
Mailing address
803 NE BRAZEE ST, PORTLAND, OR 97212-4150
(503) 284-9968
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
1461
OR
Other
Enumeration date
08/08/2006
Last updated
07/08/2007
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