Individual
BRITTANY DAWN VIGOREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.H
Contact information
Practice address
433 30TH ST., ASTORIA, OR 97103
(503) 338-6000
Mailing address
433 30TH ST., ASTORIA, OR 97103
(503) 338-6000
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H6572
OR
Other
Enumeration date
10/08/2014
Last updated
10/08/2014
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