Individual
REBECCA LYNN SHERRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EFDA
Contact information
Practice address
2930 NE DEKUM ST, PORTLAND, OR 97211-6613
(503) 916-5908
Mailing address
16910 SE NAEGELI DR APT 2, PORTLAND, OR 97236-1386
(503) 750-5891
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
OR
Other
Enumeration date
03/28/2018
Last updated
03/28/2018
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