STEPHANIE MICHELLE KELLER

BEAVERTON, OR
NPI1851410583
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy126800000X Dental Assistant
(Licence: OR  113652)
Enumeration Date2007-03-27
Last Update Date2007-07-08
Business Address
MRS. STEPHANIE MICHELLE KELLER
17675 SW TUALATIN VALLEY HWY
BEAVERTON, OR 97006-4443
Phone number: 503-259-3160
Mailing Address
MRS. STEPHANIE MICHELLE KELLER
52248 SE ENDICOTT LN
SCAPPOOSE, OR 97056-3311
Phone number: 503-543-3777