Individual
KAITLIN WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 MCLOUGHLIN BLVD, SUITE 68, OREGON CITY, OR 97045-1067
(503) 387-8000
Mailing address
1317 SW ROYAL CT, GRESHAM, OR 97080-8302
(503) 387-8000
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
120364
OR
Other
Enumeration date
04/29/2014
Last updated
04/29/2014
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