Individual
NATALIE CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
44 N 11TH AVE, CORNELIUS, OR 97113-9020
(503) 359-8505
(503) 359-8535
Mailing address
PO BOX 6149, BEAVERTON, OR 97007-0149
(503) 352-8642
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H7922
OR
Other
Enumeration date
10/04/2019
Last updated
10/04/2019
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