MIRIAM FOSBURGH

TIGARD, OR
NPI1629510375
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: OR  H3789)
Enumeration Date2016-11-11
Last Update Date2016-11-11
Business Address
-- MIRIAM FOSBURGH RDH
7105 SW HAMPTON ST
TIGARD, OR 97223-8314
Phone number: 503-286-6868
Mailing Address
-- MIRIAM FOSBURGH RDH
7105 SW HAMPTON ST
TIGARD, OR 97223-8314
Phone number: 503-286-6868