Organization
KAISER PERMANENTE
Active
Organization
KAISER PERMANENTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KARLA RAYE OLSEN SMITH R.D.H. (DENTAL HYGIENIST)
(503) 371-4313
Entity
Organization
Contact information
Practice address
2300 LANCASTER DR NE, SALEM, OR 97305-1223
(503) 371-4313
Mailing address
6336 NICKLAUS LOOP N, KEIZER, OR 97303-7543
(503) 390-5904
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
H3520
OR
Other
Enumeration date
08/31/2006
Last updated
06/01/2021
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