Individual
ANNA KOROTEYEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
17675 SW TUALATIN VALLEY HWY, BEAVERTON, OR 97006-4443
(503) 259-3160
Mailing address
10786 SE 144TH LOOP, HAPPY VALLEY, OR 97086-8323
(503) 453-2999
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
DH 60312724
WA
124Q00000X
Dental Hygienist
Primary
H6346
OR
Other
Enumeration date
03/12/2013
Last updated
03/12/2013
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