Individual
CONNIE KOSELL KNAPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
9630 SW ROBBINS DR, BEAVERTON, OR 97008-7945
(503) 524-0500
Mailing address
9630 SW ROBBINS DR, BEAVERTON, OR 97008-7945
(503) 524-0500
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
020-003802
IL
124Q00000X
Dental Hygienist
468
AK
124Q00000X
Dental Hygienist
Primary
H2958
OR
Other
Enumeration date
11/04/2008
Last updated
11/04/2008
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