Individual
KELLY ANSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
19029 BEAVERCREEK RD, OREGON CITY, OR 97045-9537
(503) 941-3067
Mailing address
6420 SW MACADAM AVE, #300, PORTLAND, OR 97239-3507
(503) 941-3077
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H6552
OR
Other
Enumeration date
10/13/2016
Last updated
10/13/2016
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