Individual
CHRISTINE ELIZABETH KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EPDH
Contact information
Practice address
3000 MARKET ST NE, SALEM, OR 97301-1882
(503) 917-2604
Mailing address
3514 22ND CT SE, ALBANY, OR 97322-5875
(541) 619-7232
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H7637
OR
Other
Enumeration date
10/13/2019
Last updated
10/13/2019
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