Individual
CHANDRA WADE-ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
12660 SW 127TH AVE, TIGARD, OR 97223-1859
(541) 905-0203
Mailing address
12660 SW 127TH AVE, TIGARD, OR 97223-1859
(541) 905-0203
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H6500
OR
Other
Enumeration date
08/19/2013
Last updated
08/19/2013
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