Individual
HALEY MONTEBLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7201 N INTERSTATE AVE, PORTLAND, OR 97217-5523
(800) 813-2000
Mailing address
7201 N INTERSTATE AVE, PORTLAND, OR 97217-5523
(800) 813-9721
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
OR
Other
Enumeration date
10/30/2024
Last updated
10/30/2024
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