Individual
DAINA ANDRA COULSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
808 SE OAK ST, HILLSBORO, OR 97123-4212
(503) 640-4674
Mailing address
3187 NE 12TH AVE, HILLSBORO, OR 97124-1699
(503) 577-4887
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H6361
OR
Other
Enumeration date
02/22/2019
Last updated
02/22/2019
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