Individual
TERRIN THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
844 6TH ST, CLARKSTON, WA 99403-2013
(208) 848-8300
(208) 848-8306
Mailing address
611 N IRON BRIDGE WAY, SPOKANE, WA 99202-4932
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
82-0441207
—
ID
Enumeration date
05/22/2017
Last updated
04/28/2022
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