Individual
MRS. MAUREEN CONNOR WEATHERSPOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EFDA
Contact information
Practice address
21345 SW ALEXANDER ST, ALOHA, OR 97006-1710
(503) 642-4922
Mailing address
21345 SW ALEXANDER ST, ALOHA, OR 97006-1710
(503) 642-4922
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
7712
OR
Other
Enumeration date
08/17/2006
Last updated
07/08/2007
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