Individual
IRENE KAY B LACHICA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
16155 NW CORNELL RD STE 450, BEAVERTON, OR 97006-8101
(971) 247-4299
Mailing address
21110 SW JAY ST, BEAVERTON, OR 97003-6503
(206) 718-2038
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H8896
OR
Other
Enumeration date
08/14/2024
Last updated
08/14/2024
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