Individual
NANCY FILOTEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DENTAL ASSISTANT
Contact information
Practice address
12450 SW WALKER RD, BEAVERTON, OR 97005-1401
(503) 901-8687
Mailing address
12450 SW WALKER RD, BEAVERTON, OR 97005-1401
(503) 901-8687
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
P095628
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P095628
KAISER PERMANENTE
OR
Enumeration date
10/19/2022
Last updated
10/19/2022
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