Individual
KATELYN THOMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH, BSDH
Contact information
Practice address
10535 NE GLISAN ST STE 301, PORTLAND, OR 97220-4077
(503) 444-2824
Mailing address
5826 N INTERSTATE AVE APT 307, PORTLAND, OR 97217-4669
(503) 314-8826
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H7553
—
Other
Enumeration date
07/25/2018
Last updated
07/25/2018
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