Individual
OLIVIA PRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
222 SE 8TH AVE, HILLSBORO, OR 97123-4218
(503) 352-7373
Mailing address
20169 DRY SLOUGH RD, MOUNT VERNON, WA 98273-7147
(360) 770-7192
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/30/2024
Last updated
09/30/2024
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