Individual
SHANNON RAE HAHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EPDH
Contact information
Practice address
3000 MARKET ST NE STE 228, SALEM, OR 97301-1803
(503) 587-7162
Mailing address
364 SW OLEANDER ST, JUNCTION CITY, OR 97448-8432
(937) 303-3471
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H8080
OR
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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