Individual
MRS. KATHERINE JEAN COBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2300 LANCASTER DR NE, SALEM, OR 97305-1223
(503) 370-4843
(503) 375-5737
Mailing address
6674 ROCK CRYSTAL LN NE, KEIZER, OR 97303-1825
(503) 393-0490
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H1835
OR
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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