Individual
DR. ALICIA APPLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2730 S MOODY AVE, PORTLAND, OR 97201-5042
(503) 494-8867
Mailing address
2730 S MOODY AVE, PORTLAND, OR 97201-5042
(503) 494-8867
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
62228
CA
122300000X
Dentist
Primary
D10867
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DO NOT HAVE ONE
DO NOT HAVE ONE
—
Enumeration date
04/12/2013
Last updated
11/08/2022
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