Individual
JENNIFER J LUSK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH, EPDH
Contact information
Practice address
222 SE 8TH AVE, HILLSBORO, OR 97123-4218
(503) 352-7373
Mailing address
22337 SW FISK TER, SHERWOOD, OR 97140-8059
(360) 790-2054
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H7769
OR
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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