STACIE THERING

PORTLAND, OR
NPI1326411919
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: OR  H6997)
Enumeration Date2015-11-05
Last Update Date2015-11-05
Business Address
-- STACIE THERING RDH
4404 NE 83RD AVE
PORTLAND, OR 97220-4931
Phone number: 503-475-8551
Mailing Address
-- STACIE THERING RDH
4404 NE 83RD AVE
PORTLAND, OR 97220-4931
Phone number: 503-475-8551