Individual
MS. KAREN ANNETTE WATERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1107 NE BURNSIDE RD, GRESHAM, OR 97030-5710
(503) 665-9616
Mailing address
1107 NE BURNSIDE RD, GRESHAM, OR 97030-5710
(503) 665-9616
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H6354
OR
Other
Enumeration date
07/18/2013
Last updated
07/18/2013
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