Individual
ELENA MARINA RABAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2225 PACIFIC BLVD SE STE 201, ALBANY, OR 97321-7904
(855) 433-6825
Mailing address
6950 NE CAMPUS WAY, HILLSBORO, OR 97124-5611
(855) 433-6825
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
1002184
WI
122300000X
Dentist
Primary
D11352
OR
Other
Enumeration date
08/23/2019
Last updated
11/11/2020
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