Individual
COURTNEY TIMMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EPDH
Contact information
Practice address
375 NW BEAVER ST STE 101, PRINEVILLE, OR 97754-1802
(541) 447-0707
Mailing address
375 NW BEAVER ST STE 101, PRINEVILLE, OR 97754-1802
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H7303
OR
Other
Enumeration date
04/03/2017
Last updated
04/03/2017
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