Individual
DONNA G LOUIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
600 NE 8TH ST, SUITE 210, GRESHAM, OR 97030-7317
(503) 988-4900
(503) 988-8503
Mailing address
PO BOX 33594, PORTLAND, OR 97292-3594
(503) 988-4900
(503) 988-8503
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6394
OR
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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