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Individual

PATRICIA L RIDGLEY

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
D.M.D

Contact information

Practice address
18803 SW BOONES FERRY RD, STE 5, TUALATIN, OR 97062-8412
(503) 692-3747
(503) 612-6948
Mailing address
PO BOX 1847, TUALATIN, OR 97062-1847
(503) 692-3747
(503) 612-6948

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
5402
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
971432
MILITARY
Enumeration date
07/08/2005
Last updated
07/08/2007
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