Organization
ORAL HEALTH FOR LIFE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORI KILLEN AUS RDH, MA (DENTAL HYGIENIST)
(503) 319-3412
Entity
Organization
Contact information
Practice address
2574 TROY CT, WEST LINN, OR 97068-7306
(503) 319-3412
Mailing address
2574 TROY CT, WEST LINN, OR 97068-7306
(503) 319-3412
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
H1599
OR
Other
Enumeration date
08/29/2011
Last updated
08/29/2011
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