Individual
PAMELA S. MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH WITH LAP
Contact information
Practice address
16300 HIGHWAY 62, EAGLE POINT, OR 97524-7858
(541) 621-6094
Mailing address
16300 HIGHWAY 62, EAGLE POINT, OR 97524-7858
(541) 621-6094
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H4261
OR
Other
Enumeration date
05/11/2010
Last updated
01/20/2015
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