Individual
DR. CONNIE LEI MASUOKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
6305 E BURNSIDE ST, PORTLAND, OR 97215-1351
(503) 236-8623
Mailing address
6305 E BURNSIDE ST, PORTLAND, OR 97215-1351
(503) 236-8623
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6495
OR
Other
Enumeration date
08/29/2006
Last updated
03/07/2023
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