Individual
MADISEN BUNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
39740 PLEASANT ST, SANDY, OR, SANDY, OR 97055
(503) 655-8470
Mailing address
2051 KAEN RD STE 367, OREGON CITY, OR 97045-4035
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H8099
OR
Other
Enumeration date
07/03/2023
Last updated
07/03/2023
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