Individual
LONI MARIE MCNAMARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EFDA
Contact information
Practice address
4855 SW WESTERN AVE, BEAVERTON, OR 97005
(503) 626-4148
Mailing address
1171 2ND AVE, VERNONIA, OR 97064
(503) 429-6303
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
114870
OR
Other
Enumeration date
09/29/2006
Last updated
07/08/2007
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