Individual
MRS. MARLENE JOANNE CRANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
10102 NE GLISAN ST, PORTLAND, OR 97220-4456
(503) 275-5959
Mailing address
1410 SW 31ST ST, GRESHAM, OR 97080-9610
(503) 666-6117
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H1788
OR
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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