Individual
XIAO YANG MENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RDH
Contact information
Practice address
16611 SE MAIN ST, PORTLAND, OR 97233-4046
(971) 254-5655
Mailing address
16611 SE MAIN ST, PORTLAND, OR 97233-4046
(971) 254-5655
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H6981
OR
Other
Enumeration date
07/12/2015
Last updated
03/08/2022
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