ALISA ANN PROUDFOOT

BEAVERTON, OR
NPI1588771885
Former NameALISA ANN SEGER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: OR  H2484)
Enumeration Date2006-08-23
Last Update Date2007-07-16
Business Address
Mrs. ALISA ANN PROUDFOOT R.D.H.
4855 SW WESTERN AVE
BEAVERTON, OR 97005-3460
Phone number: 503-626-4148
Mailing Address
Mrs. ALISA ANN PROUDFOOT R.D.H.
4855 SW WESTERN AVE
BEAVERTON, OR 97005-3460
Phone number: 503-626-4148
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