Individual
MEGAN VAN NOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8332 SW 21ST AVE APT 12, PORTLAND, OR 97219-2853
(503) 367-9440
Mailing address
8332 SW 21ST AVE APT 12, PORTLAND, OR 97219-2853
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H6260
OR
Other
Enumeration date
11/03/2017
Last updated
03/17/2018
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