Individual
BETH M SHEPPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH, BSDH
Contact information
Practice address
7615 SW CAPITOL HWY, PORTLAND, OR 97219-2436
(503) 244-3712
Mailing address
PO BOX 291, SHERWOOD, OR 97140-0291
(503) 310-0127
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H5893
OR
Other
Enumeration date
05/14/2013
Last updated
05/14/2013
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