Individual
LIDDIE ROSE NORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2599 NE OVERLOOK DR APT 812, HILLSBORO, OR 97124-7613
(541) 295-1314
Mailing address
2599 NE OVERLOOK DR APT 812, HILLSBORO, OR 97124-7613
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/12/2022
Last updated
10/12/2022
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