NPI 1023769643

Justine E Walston

Practitioner Dental Assistant Clackamas, OR

Practice location

Address: 10209 SE Sunnyside Rd, Clackamas, OR 97015-9782
Phone: (800) 813-2000
Mailing address: 1352 NW St, Estacada, OR 97023

Registered specialties

Dental Assistant Primary

Dental Providers Taxonomy 126800000X Licence 122616 (OR)

Other Dental Assistant providers in Oregon →

Registry record

NPI: 1023769643
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Jan 2022
Record last updated: 14 Jan 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.