Individual
MRS. ANNA LA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
17675 SW TUALATIN VALLEY HWY, BEAVERTON, OR 97006-4443
(503) 286-6868
Mailing address
9602 NW THOMPSON RD, PORTLAND, OR 97229-3848
(503) 317-1185
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H5096
OR
Other
Enumeration date
02/09/2011
Last updated
12/27/2021
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