Individual
ALVIN LORENO LYM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1102 NE 82ND AVE, PORTLAND, OR 97220-5701
(503) 408-8927
Mailing address
602 S NEVADA ST APT F, PORTLAND, OR 97219-3394
(858) 922-4356
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D11454
OR
Other
Enumeration date
07/05/2021
Last updated
07/05/2021
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