Individual
CECILIA DONALDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.H
Contact information
Practice address
1404 NE 85TH AVE, PORTLAND, OR 97220-5611
(503) 906-0970
Mailing address
1404 NE 85TH AVE, PORTLAND, OR 97220-5611
(503) 906-0970
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H6435
OR
Other
Enumeration date
01/24/2014
Last updated
01/24/2014
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