Individual
STACY T HONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19070 SW PIKE LN, ALOHA, OR 97078-1492
(503) 374-5513
Mailing address
19070 SW PIKE LN, ALOHA, OR 97078-1492
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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