Individual
MRS. CONNIE LYNNE RUTLEDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3750 CHEMAWA RD NE, SALEM, OR 97305
(503) 304-7631
(503) 304-7639
Mailing address
3750 CHEMAWA RD NE, SALEM, OR 97305
(503) 304-7631
(503) 304-7639
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
1540
OK
Other
Enumeration date
04/19/2016
Last updated
04/19/2016
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