Havercroft, Mandy
Havercroft, Mandy is an individual health care provider with primary practice located at 10115 Sw Nimbus Ave #350, Tigard OR 97223-4349. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Havercroft, Mandy can be contacted via phone (503) 308-4073.Contact Information
Primary practice address
10115 Sw Nimbus Ave #350
Tigard OR 97223-4349
Phone: (503) 308-4073
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | H6480 | Oregon |
Profile Details
| NPI number | 1104249192 |
|---|---|
| LBN Legal business name | Havercroft, Mandy |
| Credentials | BS, RDH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 27th, 2014 |
| Last updated | Jan 27th, 2014 - about 11 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.
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