Individual
LAURIE MARIE WALKER-COFFEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
521 N 1ST AVE, STAYTON, OR 97383-1703
(503) 769-9699
Mailing address
521 N 1ST AVE, STAYTON, OR 97383-1703
(503) 769-9699
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H3559
OR
Other
Enumeration date
08/25/2021
Last updated
08/25/2021
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