Individual
MRS. JAYNE SUVA WHEELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
7420 SW HUNZIKER RD STE F, TIGARD, OR 97223-8242
(541) 514-3321
Mailing address
11673 SW NACIRA PL, TIGARD, OR 97223-5306
(541) 514-3321
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H7714
OR
Other
Enumeration date
06/24/2021
Last updated
06/24/2021
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