Proudfoot, Alisa Ann
Proudfoot, Alisa Ann is an individual health care provider with primary practice located at 4855 Sw Western Ave , Beaverton OR 97005-3460. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Proudfoot, Alisa Ann can be contacted via phone (503) 626-4148.Contact Information
Primary practice address
4855 Sw Western Ave
Beaverton OR 97005-3460
Phone: (503) 626-4148
Fax: (503) 626-4412
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | H2484 | Oregon |
Profile Details
| NPI number | 1588771885 |
|---|---|
| LBN Legal business name | Proudfoot, Alisa Ann |
| Credentials | Registered Dental Hygienist (RDH) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2006 |
| Last updated | Jul 16th, 2007 - about 18 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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