MRS. Holly Jean Mccormick, EFDA

NPI #1962668368 in Beaverton, Oregon

Provider Information

NPI Number: 1962668368
Entity Type: Individual
Name: MRS. Holly Jean Mccormick, EFDA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Assistant
Credential: EFDA
Enumeration Date: Aug 5, 2008
Last Updated: Aug 5, 2008

Practice Location

Address: 17675 SW TUALATIN VALLEY HWY
City: Beaverton
State: Oregon
ZIP Code: 97006-4443
Phone: (503) 259-3169

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Assistant	126800000X	Primary

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