Individual
ALICIA M HENDRIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15515 SW FOSTER LN APT 262, BEAVERTON, OR 97007-2384
(541) 218-8387
Mailing address
15515 SW FOSTER LN APT 262, BEAVERTON, OR 97007-2384
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H5881
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H5881
DENTAL HYGIENE
OR
Enumeration date
09/12/2013
Last updated
09/12/2013
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