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Individual

MRS. TAMIE RESARE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
10209 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9782
(503) 335-3390
Mailing address
10209 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9782
(503) 335-3390

Taxonomy

Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
118094
OR

Other

Enumeration date
09/29/2016
Last updated
09/29/2016
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