Individual
VERONIKA SMOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5329 NE MLK BLVD, PORTLAND, OR 97211-3237
(503) 988-3664
Mailing address
421 SW OAK ST, STE.210, PORTLAND, OR 97204-1817
(503) 988-7468
(503) 988-3015
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H6440
OR
Other
Enumeration date
03/13/2014
Last updated
10/15/2015
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