Individual
MRS. LORI DUNHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
205 BERWICK RD, LAKE OSWEGO, OR 97034-2849
(971) 207-4134
Mailing address
PO BOX 262, LAKE OSWEGO, OR 97034-0031
(971) 207-4134
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H2120
OR
Other
Enumeration date
03/31/2014
Last updated
10/14/2014
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