Individual
MICHELLE R LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3671 SW RIVER PKWY, PORTLAND, OR 97239-4552
(503) 841-5658
(503) 384-2953
Mailing address
3671 SW RIVER PKWY, PORTLAND, OR 97239-4552
(503) 841-5658
(503) 384-2953
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7029
OR
Other
Enumeration date
10/25/2016
Last updated
10/25/2016
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