TRACY LYNNE BRUNKHORST

BORING, OR
NPI1205400256
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: OR  H7355)
Enumeration Date2021-05-14
Last Update Date2021-05-14
Business Address
TRACY LYNNE BRUNKHORST
26551 SE WALLY RD
BORING, OR 97009-8487
Phone number: 612-419-5891
Mailing Address
TRACY LYNNE BRUNKHORST
26551 SE WALLY RD
BORING, OR 97009-8487
Phone number: 612-419-5891