Individual
TESSIE MCDUFFIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5440 SW WESTGATE DR, #165, PORTLAND, OR 97221-2420
(503) 297-1471
Mailing address
33634 MAZOUR DR, WARREN, OR 97053-9776
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H6841
OR
Other
Enumeration date
05/16/2016
Last updated
05/16/2016
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