Individual
MRS. JONNI LEE MURPHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DA EFDAII
Contact information
Practice address
1314 NE GRAND AVE, PORTLAND, OR 97232-1127
(503) 280-2877
Mailing address
15715 SE FRANCIS AVE, MILWAUKIE, OR 97267-3035
(503) 353-6887
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
0664
OR
Other
Enumeration date
08/15/2006
Last updated
07/08/2007
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