Justine E Walston
Dental Assistant in Clackamas, OR. Individual provider (NPI-1).
NPI number1023769643
StatusActive
Last updated in NPPESJan 14, 2022
Details
- NPI
- 1023769643
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Justine E Walston
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 14, 2022
- Certification date
- Jan 11, 2022
- Last updated
- Jan 14, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 126800000X | Dental Assistant | 122616 | OR | Yes |
Practice location
10209 Se Sunnyside RdClackamas, OR 97015-9782
Phone 800-813-2000
Mailing address
1352 Nw StEstacada, OR 97023
Phone 509-756-6999
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All 27 Dental Assistant providers in Clackamas · All 2,438 providers in Clackamas
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