DIANA LYNN PORTER

GRANTS PASS, OR
NPI1568014223
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: OR  H3448)
Enumeration Date2019-07-12
Last Update Date2019-07-12
Business Address
Mrs. DIANA LYNN PORTER RDH
1705 HAWTHORNE AVE.
GRANTS PASS, OR 97526-9752
Phone number: 541-218-2360
Mailing Address
Mrs. DIANA LYNN PORTER RDH
2222 WOLF LN
GRANTS PASS, OR 97527-9238
Phone number: 541-476-9009
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