Individual
KRISTEN LOREE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
222 SE 8TH AVE STE 271, HILLSBORO, OR 97123-4218
(503) 352-7373
(503) 352-7245
Mailing address
8885 SW MORGAN DR, BEAVERTON, OR 97008-7205
(971) 678-0343
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H5909
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H5909
OREGON BOARD OF DENTISTRY
OR
Enumeration date
03/31/2020
Last updated
03/31/2020
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