Individual
CHRISTINA K IRWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
833 SW 11TH AVE. STE 915, PORTLAND, OR 97205-2123
(503) 223-4294
(503) 223-2038
Mailing address
833 SW 11TH AVE STE 915, PORTLAND, OR 97205-2123
(503) 223-4294
(503) 223-2038
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D6399
OR
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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