Individual
TIA RAE MOREHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EPDH
Contact information
Practice address
1275 S RIVER RD, COTTAGE GROVE, OR 97424-3906
(541) 942-3383
Mailing address
1066 SWALE RIDGE LOOP, CRESWELL, OR 97426-4500
(541) 761-4981
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H7523
OR
Other
Enumeration date
01/14/2019
Last updated
01/14/2019
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