Organization
KAISER PERMANENTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUZANNE MICHELLE BOZSO RDH (DENTAL HYGIENIST)
(503) 588-6560
Entity
Organization
Contact information
Practice address
5135 SKYLINE RD SO., SALEM, OR 97306-9427
(503) 588-6560
Mailing address
1645 1/2 DAVIDSON ST SE, SALEM, OR 97302-2990
(503) 588-6560
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H4906
OR
Other
Enumeration date
07/31/2006
Last updated
06/01/2021
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