Individual
ALYSON CAROL GEIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
10102 NE GLISAN ST, PORTLAND, OR 97220-4456
(503) 257-5959
Mailing address
6234 SE PREMIER CT, MILWAUKIE, OR 97267-7100
(503) 653-8514
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H2306
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
124Q00000X
DENTAL HYGIENIST
OR
Enumeration date
08/16/2006
Last updated
07/08/2007
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