Mrs. Justine E Walston
Dental Assistant
10209 Se Sunnyside Rd
Clackamas
, Oregon 97015-9782
Mrs. Justine E Walston
Dental Assistant
10209 Se Sunnyside Rd
Clackamas
, Oregon 97015-9782
(509) 756-6999
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About
Features
Specialties
- Dental Assistant
Languages spoken
- English
Location
First Address
- Mrs. Justine E Walston
- 1352 Nw St
- Estacada, OR
- Zip : 97023
- Phone : (509) 756-6999
Second Address
- Mrs. Justine E Walston
- 10209 Se Sunnyside Rd
- Clackamas, OR
- Zip : 97015-9782
- Phone : (800) 813-2000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | 122616 | OR |
National Provider Identifier
| NPI | 1023769643 |
|---|---|
| Provider Name | Mrs. Justine E Walston |
| First Address | Estacada, OR 97023 |
| Second Address | Clackamas, OR 97015-9782 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/01/2022 |
| Last Update Date | 14/01/2022 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.