Individual
KASSANDRA COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3000 MARKET ST NE, #228, SALEM, OR 97301-1882
(503) 585-5205
Mailing address
3000 MARKET ST NE, #228, SALEM, OR 97301-1882
(503) 585-5205
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H7181
OR
Other
Enumeration date
05/31/2016
Last updated
05/31/2016
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