Individual
TERESA GROSSEN BRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
222 SE 8TH AVE, HILLSBORO, OR 97123-4218
(503) 780-9252
Mailing address
20921 NW BENDEMEER RD, HILLSBORO, OR 97124-8519
(503) 780-9252
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H1857
OR
Other
Enumeration date
04/08/2022
Last updated
04/08/2022
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