AUTUMN LEE JOHNSTONE

CORNELIUS, OR
NPI1700242039
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: OR  H4130)
Enumeration Date2015-12-31
Last Update Date2016-07-14
Business Address
-- AUTUMN LEE JOHNSTONE BSDH
44 N 11TH AVE
CORNELIUS, OR 97113-9020
Phone number: 503-359-8505
Mailing Address
-- AUTUMN LEE JOHNSTONE BSDH
PO BOX 568
CORNELIUS, OR 97113-0568
Phone number: 503-352-8657
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