Individual
MRS. CLAUDINE LOVE STEVENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1250 SE GODSEY RD APT 97, DALLAS, OR 97338-2797
(503) 877-7249
Mailing address
1250 SE GODSEY RD APT 97, DALLAS, OR 97338-2797
(503) 877-7249
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H5776
OR
Other
Enumeration date
12/03/2013
Last updated
12/03/2013
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