Petty, Randi Michelle

Petty, Randi Michelle is an individual health care provider with primary practice located at 4104 Se 82Nd Ave Ste 450 , Portland OR 97266-2958. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Petty, Randi Michelle can be contacted via phone (503) 771-4324.

Contact Information

Primary practice address
4104 Se 82Nd Ave Ste 450 Portland OR 97266-2958
Phone: (503) 771-4324
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X H5615 Oregon

Profile Details

NPI number 1790027217
LBN Legal business name Petty, Randi Michelle
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2013
Last updated Mar 22nd, 2013 - about 13 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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