SIERRA STOUT

ROSEBURG, OR
NPI1437918273
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: OR  H7833)
Enumeration Date2024-03-14
Last Update Date2024-03-14
Business Address
SIERRA STOUT RDH
1600 NW GARDEN VALLEY BLVD STE 110
ROSEBURG, OR 97471-8709
Phone number: 541-677-4851
Mailing Address
SIERRA STOUT RDH
775 NE NASH ST
ROSEBURG, OR 97470-3253
Phone number: 541-576-4391