Individual
ANNA BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
16679 BOONES FERRY RD STE 215, LAKE OSWEGO, OR 97035-4368
(503) 636-7601
(503) 636-3749
Mailing address
16679 BOONES FERRY RD STE 215, LAKE OSWEGO, OR 97035-4368
(503) 636-7601
(503) 636-3749
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D12246
OR
1223G0001X
General Practice Dentistry
Primary
D12246
OR
Other
Enumeration date
08/01/2025
Last updated
08/01/2025
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