Individual
MS. MICHELLE MARIE BLETH-WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH, EPDH
Contact information
Practice address
805 IVY AVENUE SUITE B, TILLAMOOK, OR 97141-9620
(503) 842-3994
Mailing address
805 IVY AVENUE SUITE B, TILLAMOOK, OR 97338
(503) 842-3994
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H3957
OR
Other
Enumeration date
11/22/2011
Last updated
05/13/2021
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