Individual
SUSAN MARIE ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EFDA, CDA
Contact information
Practice address
5025 SE 28TH AVE, PORTLAND, OR 97202-4445
(503) 238-4418
Mailing address
4840 SE MALDEN DR, PORTLAND, OR 97206-9146
(505) 238-4418
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
A8316
OR
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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