Individual
NATASHA CRISMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1296 COMMERCIAL ST SE STE 101, SALEM, OR 97302-4200
(503) 585-4282
Mailing address
1782 BROADWAY ST NE, SALEM, OR 97301-1458
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H6920
OR
Other
Enumeration date
08/06/2019
Last updated
08/06/2019
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