Individual
KEARA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9300 SE 91ST AVE STE 310, HAPPY VALLEY, OR 97086-3762
(503) 772-7888
Mailing address
9300 SE 91ST AVE STE 310, HAPPY VALLEY, OR 97086-3762
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
01/25/2019
Last updated
01/25/2019
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