Individual
MICHELE R DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
3490 LANCASTER DR NE, SALEM, OR 97305-1356
(503) 540-9041
(503) 540-9056
Mailing address
3490 LANCASTER DR NE, SALEM, OR 97305-1356
(503) 540-9041
(503) 540-9056
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
5624
OR
Other
Enumeration date
08/20/2009
Last updated
08/20/2009
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