Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | H6794 | OR |
NPI | 1053710210 |
---|---|
Provider Name | Mrs. Catherine E Lawson |
First Address | Lake Oswego, OR 97035-8879 |
Second Address | Lake Oswego, OR 97035-8879 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/08/2014 |
Last Update Date | 13/08/2014 |