Individual
MS. DIANA GABRIELA BARAJAS LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH EPDH
Contact information
Practice address
3834 SE DORA CT, TROUTDALE, OR 97060-2513
(503) 432-5831
Mailing address
3834 SE DORA CT, TROUTDALE, OR 97060-2513
(503) 432-5831
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H7924
OR
Other
Enumeration date
10/11/2019
Last updated
10/11/2019
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