Individual
JANICE COUGHLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1630 SE ENSIGN LANE, WARRENTON, OR 97146
(503) 325-3230
Mailing address
1630 SE ENSIGN LANE, WARRENTON, OR 97146
(503) 325-3230
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H0889
OR
Other
Enumeration date
12/16/2016
Last updated
12/16/2016
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