Individual
AMANDA JO YODER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
4925 SW GRIFFITH DR, BEAVERTON, OR 97005-2923
(855) 433-6825
Mailing address
6434 S WHISKEY HILL RD, HUBBARD, OR 97032-9415
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H7542
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H7542
—
OR
Enumeration date
09/09/2017
Last updated
09/09/2017
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