Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | H7292 | OR |
NPI | 1053815126 |
---|---|
Provider Name | Cambria Curran |
First Address | Redmond, OR 97756-0520 |
Second Address | Madras, OR 97741-1865 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/03/2018 |
Last Update Date | 22/03/2018 |