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Individual

MRS. EMY LORENA ROADY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RDH

Contact information

Practice address
2105 SE 185TH AVE, PORTLAND, OR 97233-5627
(503) 661-6048
(503) 667-4108
Mailing address
18260 NW CORNELL RD, APT. H, BEAVERTON, OR 97006-8674
(503) 430-1410

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H5798
OR

Other

Enumeration date
05/19/2013
Last updated
05/19/2013
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