Individual
KARLY MARIE MCQUISTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH, EPP
Contact information
Practice address
18833 LODGEPOLE WAY, OREGON CITY, OR 97045-7695
(503) 575-8102
Mailing address
18833 LODGEPOLE WAY, OREGON CITY, OR 97045-7695
(150) 357-5810
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H8139
OR
Other
Enumeration date
07/27/2023
Last updated
07/27/2023
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