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1194021063
ANNA LA
BEAVERTON, OR
NPI
1194021063
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: OR H5096)
Enumeration Date
2011-02-09
Last Update Date
2021-12-27
Business Address
Mrs. ANNA LA RDH
17675 SW TUALATIN VALLEY HWY
BEAVERTON, OR 97006-4443
Phone number: 503-286-6868
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Mailing Address
Mrs. ANNA LA RDH
9602 NW THOMPSON RD
PORTLAND, OR 97229-3848
Phone number: 503-317-1185
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