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AUDREY LEIGH LUTES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDH

Contact information

Practice address
3130 SE DIVISION STREET, PORTLAND, OR 97202
(503) 515-2877
Mailing address
31920 HISTORIC COLUMBIA RIVER HWY, TROUTDALE, OR 97060-9377
(503) 515-2877

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H6505
OR

Other

Enumeration date
05/24/2016
Last updated
05/24/2016
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