Individual
RUTH MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7105 SW HAMPTON ST, TIGARD, OR 97223-8314
(503) 684-9274
Mailing address
4079 JEFFERSON PKWY, LAKE OSWEGO, OR 97035-1478
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H1106
OR
Other
Enumeration date
02/16/2007
Last updated
07/08/2007
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