KATIE LYNN FAULKNER

PORTLAND, OR
NPI1427396613
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: OR  H6374)
Enumeration Date2013-01-22
Last Update Date2013-01-22
Business Address
-- KATIE LYNN FAULKNER RDH
13255 SE STARK ST
PORTLAND, OR 97233-1548
Phone number: 503-255-1901
Mailing Address
-- KATIE LYNN FAULKNER RDH
13255 SE STARK ST
PORTLAND, OR 97233-1548
Phone number: