Individual
KHAMLA LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
18145 S SPRINGWATER RD, OREGON CITY, OR 97045-9666
(971) 235-1233
Mailing address
11217 NE SAN RAFAEL ST, PORTLAND, OR 97220-1955
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H5725
OR
Other
Enumeration date
02/28/2017
Last updated
12/17/2021
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