Individual
SHAUN LARAE CHRISTENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
6403 NE 117TH AVE, VANCOUVER, WA 98662-5560
(360) 609-0243
Mailing address
519 NW 209TH STREET, RIDGEFIELD, WA 98642
(360) 609-0243
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH 00005204
WA
Other
Enumeration date
11/22/2016
Last updated
11/22/2016
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