Individual
MS. SHAUNA DALE SONODA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
12000 SW 49TH AVE, PORTLAND, OR 97219
(866) 922-1010
Mailing address
16630 SW HECETA CT, BEAVERTON, OR 97007-7819
(503) 348-8684
(503) 649-2327
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H6496
OR
Other
Enumeration date
09/18/2013
Last updated
09/18/2013
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