Individual
ANGELA CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS, RDH, EPP
Contact information
Practice address
17675 SW TUALATIN VALLEY HWY, BEAVERTON, OR 97003-4443
(800) 813-2000
Mailing address
4525 SW 194TH CT, ALOHA, OR 97078-2378
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H9078
OR
Other
Enumeration date
08/26/2025
Last updated
08/26/2025
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