Individual
MRS. SUSAN HALVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
14327 TALAWA DR, OREGON CITY, OR 97045-7142
(503) 867-1000
Mailing address
14327 TALAWA DR, OREGON CITY, OR 97045-7142
(503) 867-1000
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H4843
OR
Other
Enumeration date
04/09/2014
Last updated
04/09/2014
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