Individual
SARAH TYLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
37638 E KNIERIEM RD, CORBETT, OR 97019-8818
(503) 250-1516
Mailing address
37638 E KNIERIEM RD, CORBETT, OR 97019-8818
(503) 250-1516
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H7274
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H7274
LICENSE NUMBER
OR
Enumeration date
09/09/2016
Last updated
09/09/2016
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