Individual
HEATHER MANKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
9605 GRAND RONDE RD, GRAND RONDE, OR 97347-9712
(503) 879-2020
(503) 879-2071
Mailing address
9605 GRAND RONDE RD, GRAND RONDE, OR 97347-9712
(503) 879-2020
(503) 879-2071
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D10508
OR
Other
Enumeration date
08/04/2016
Last updated
01/29/2025
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