Individual
DR. ELISE R BRAXMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
15125 SW BEARD RD, BEAVERTON, OR 97007-7477
(503) 590-4300
(503) 590-0269
Mailing address
15125 SW BEARD RD, BEAVERTON, OR 97007-7477
(503) 590-4300
(503) 590-0269
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D8978
OR
1223G0001X
General Practice Dentistry
Primary
D8978
OR
Other
Enumeration date
08/28/2007
Last updated
01/24/2019
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