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1861406944
KATHERINE I DETRICK
PORTLAND, OR
NPI
1861406944
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: OR h1844)
Enumeration Date
2006-07-27
Last Update Date
2007-07-08
Business Address
-- KATHERINE I DETRICK rdh
822 NE 181ST AVE
PORTLAND, OR 97230-6708
Phone number: 503-661-5210
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Mailing Address
-- KATHERINE I DETRICK rdh
38320 MILLER RD
SANDY, OR 97055-6317
Phone number: 503-668-5495
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