Individual
LARA JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4016 SE MARTINS, PORTLAND, OR 97202
(503) 788-4444
Mailing address
4016 SE MARTINS ST, PORTLAND, OR 97202-7648
(503) 788-4444
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
01/04/2013
Last updated
01/04/2013
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