Organization
NORTHWEST MOBILE HYGIENE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROBIN WENDY FATAFEHI RDH, BS, EPDH (REGISTERED DENTAL HYGIENIST)
(503) 440-2313
Entity
Organization
Contact information
Practice address
20392 SW BLAINE CT, ALOHA, OR 97006-2115
(503) 440-2313
Mailing address
PO BOX 7014, ALOHA, OR 97007-7014
(503) 440-2313
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H6359
OR
Other
Enumeration date
05/29/2013
Last updated
05/29/2013
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