Individual
FENNY TUOI BUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7990 NE GLISAN ST, PORTLAND, OR 97213-7040
(503) 208-2220
Mailing address
8243 NE TILLAMOOK ST, PORTLAND, OR 97220-5558
(503) 261-1228
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H6135
OR
Other
Enumeration date
08/07/2017
Last updated
08/07/2017
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