LORETTA EILEEN JOHNSON

GRESHAM, OR
NPI1780104737
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: OR  H2367)
Enumeration Date2017-06-21
Last Update Date2022-07-21
Business Address
LORETTA EILEEN JOHNSON
4077 NE 2ND ST
GRESHAM, OR 97030-1711
Phone number: 503-780-1510
Mailing Address
LORETTA EILEEN JOHNSON
4077 NE 2ND ST
GRESHAM, OR 97030-1711
Phone number: 503-780-1510
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