Individual
JENNIFER ELEANOR OSAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RHD
Contact information
Practice address
16790 SW 113TH AVE, TIGARD, OR 97224-3427
(503) 784-5155
Mailing address
16790 SW 113TH AVE, TIGARD, OR 97224-3427
(503) 784-5155
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H8368
OR
Other
Enumeration date
01/26/2022
Last updated
01/26/2022
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