Fosburgh, Miriam

Fosburgh, Miriam is an individual health care provider with primary practice located at 7105 Sw Hampton St , Tigard OR 97223-8314. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Fosburgh, Miriam can be contacted via phone (503) 286-6868.

Contact Information

Primary practice address
7105 Sw Hampton St Tigard OR 97223-8314
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X H3789 Oregon

Profile Details

NPI number 1629510375
LBN Legal business name Fosburgh, Miriam
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2016
Last updated Nov 11th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers