Individual
KATHERINE JANE FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3489 3RD STR, STE D, HUBBARD, OR 97032
(503) 982-7777
Mailing address
11900 SW RIVERVIEW LN, WILSONVILLE, OR 97070-7537
(503) 582-8588
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D8450
OR
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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