Organization
EVERGREEN MYOHABITS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YELENA LIKHATSKIY DENTAL HYGIENIST (MYOFUNCTIONAL THERAPIST)
(360) 448-1830
Entity
Organization
Contact information
Practice address
701 NE 136TH AVE STE 200, VANCOUVER, WA 98684-6937
(360) 448-1830
Mailing address
701 NE 136TH AVE STE 200, VANCOUVER, WA 98684-6937
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
05/22/2023
Last updated
05/26/2023
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