Individual
RENEE LYNETTE AXHELM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5135 SKYLINE RD S, SALEM, OR 97306-9427
(503) 569-1421
Mailing address
1536 W BRETT CT, STAYTON, OR 97383-1074
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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