Individual
LEAH M BEATTIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EPDH
Contact information
Practice address
2700 NW STEWART PKWY, ROSEBURG, OR 97471-1281
(541) 677-4851
Mailing address
676 ST JOHN ST, PO BOX 1103, SUTHERLIN, OR 97479-9643
(541) 430-4160
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H4025
OR
Other
Enumeration date
11/03/2015
Last updated
11/03/2015
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