Individual
KELSEY SNOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10209 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9782
(800) 813-2000
Mailing address
14968 SE REGNER TER, DAMASCUS, OR 97089-8249
(503) 341-2687
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H6064
OR
Other
Enumeration date
03/06/2025
Last updated
03/06/2025
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