Individual
MS. LORI KILLEN AUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH, MA
Contact information
Practice address
412 NE FORD ST, MCMINNVILLE, OR 97128-4608
(503) 434-7477
(503) 472-9731
Mailing address
2574 TROY CT, WEST LINN, OR 97068-7306
(503) 657-5046
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
1599
OR
Other
Enumeration date
08/06/2010
Last updated
08/06/2010
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