Individual
KATHRYN L EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
73265 CONFEDERATED WAY, PENDLETON, OR 97801-9099
(541) 966-9830
Mailing address
73265 CONFEDERATED WAY, PENDLETON, OR 97801-9099
(541) 966-9830
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H6012
OR
Other
Enumeration date
10/07/2015
Last updated
10/07/2015
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