Individual
ANNA RUTH SCHWAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
351 NW 4TH AVE, CANBY, OR 97013-3505
(503) 447-4879
Mailing address
15177 SE OREGON TRAIL DR, CLACKAMAS, OR 97015-6201
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D11094
OR
1223G0001X
General Practice Dentistry
D11094
OR
Other
Enumeration date
07/11/2019
Last updated
05/10/2021
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