Individual
DR. JACQUELINE RYAN THROWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, MS, MPA
Contact information
Practice address
1820 SW VERMONT ST STE O, PORTLAND, OR 97219-1945
(503) 246-9802
Mailing address
4926 SW VIEW POINT TER, PORTLAND, OR 97239-4079
(870) 830-9966
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D11733
OR
Other
Enumeration date
02/03/2023
Last updated
02/03/2023
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