Individual
LAINE NEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2574 TROY CT, WEST LINN, OR 97068-7306
(503) 319-3412
Mailing address
15609 SE GLADYS ROSE WAY, DAMASCUS, OR 97089-5806
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
09/05/2022
Last updated
09/05/2022
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