Individual
CHLOE MAI ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1789 NW 173RD AVE, BEAVERTON, OR 97006
(714) 204-8508
Mailing address
5653 NW 180TH PL, PORTLAND, OR 97229-7912
(714) 204-8508
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
D11163
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2017
Last updated
11/25/2020
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