Healthcare Provider Details

I. General information

NPI: 1306987904
Provider Name (Legal Business Name): FRANCINE MARIE PARMELEE RDH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/08/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

610 WEST 3RD ST
DORRIS CA
96023-0000
US

IV. Provider business mailing address

10415 WILDWOOD LN
KLAMATH FALLS OR
97603-8944
US

V. Phone/Fax

Practice location:
  • Phone: 530-397-8411
  • Fax: 530-397-4567
Mailing address:
  • Phone: 541-884-3860
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License Number14662
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: