Individual
BRANDI DAWN MAYHUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2185 SE 12TH PL, WARRENTON, OR 97146-9311
(503) 861-6243
Mailing address
PO BOX 883, WARRENTON, OR 97146-0883
(541) 359-9917
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H6459
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H6459
OREGON BOARD OF DENTISTRY
OR
Enumeration date
10/24/2013
Last updated
10/24/2013
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