Individual
MRS. DARYN ANN SECRIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
5025 SE 28TH AVE, PORTLAND, OR 97202-4445
(503) 238-4418
Mailing address
1406 SE CONDOR PLACE, GRESHAM, OR 97080
(503) 661-0530
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H1199
OR
Other
Enumeration date
09/28/2006
Last updated
07/08/2007
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