Individual
MS. LORI L VIRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EFDA
Contact information
Practice address
10102 NE GLISAN ST, PORTLAND, OR 97220-4456
(503) 257-5959
(503) 408-1472
Mailing address
19183 SE YAMHILL ST CONDO #11, PORTLAND, OR 97233-3960
(503) 665-0999
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
A2312
OR
Other
Enumeration date
08/16/2006
Last updated
07/08/2007
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