Individual
ANN ARCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17675 SW TUALATIN VALLEY HWY, BEAVERTON, OR 97003-4443
(503) 259-3161
Mailing address
17675 SW TUALATIN VALLEY HWY, BEAVERTON, OR 97003-4443
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H6580
OR
Other
Enumeration date
08/25/2016
Last updated
12/17/2021
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