Individual
COURTNEY GALLAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3300 SE DWYER DR STE 302, MILWAUKIE, OR 97222-6548
(503) 850-4479
Mailing address
6420 SW MACADAM AVE STE 300, PORTLAND, OR 97239-3519
(503) 941-3077
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H7544
OR
Other
Enumeration date
11/16/2017
Last updated
03/17/2018
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