Individual
DR. HAILEY DODSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
907 NW 18TH AVE, PORTLAND, OR 97209-2324
(971) 544-7403
Mailing address
1926 W BURNSIDE ST UNIT 309, PORTLAND, OR 97209-2068
(541) 261-4142
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D11335
OR
Other
Enumeration date
10/15/2020
Last updated
10/15/2020
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