Lesa Sherilyn Ingraham

NPI #1982937306 in Hillsboro, Oregon

Provider Information

NPI Number: 1982937306
Entity Type: Individual
Name: Lesa Sherilyn Ingraham
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Assistant
Enumeration Date: Sep 16, 2009
Last Updated: Sep 16, 2009

Practice Location

Address: 19075 NW TANASBOURNE DR STE 300
City: Hillsboro
State: Oregon
ZIP Code: 97124-5802
Phone: (503) 531-1700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Assistant	126800000X	Primary

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