Individual
TERESA FICKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
855 EXCHANGE ST, ASTORIA, OR 97103-4627
(503) 325-3230
(503) 325-5264
Mailing address
855 EXCHANGE ST, ASTORIA, OR 97103-4627
(503) 325-3230
(503) 325-5264
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H3513
OR
Other
Enumeration date
08/22/2016
Last updated
08/22/2016
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