Individual
ANA VIVES BARRETO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
948 NE 102ND AVE, SUITE # 105, PORTLAND, OR 97220-4064
(503) 719-7335
(503) 253-6531
Mailing address
948 NE 102ND AVE, SUITE # 105, PORTLAND, OR 97220-4064
(503) 719-7335
(503) 253-6531
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
64475
CA
122300000X
Dentist
Primary
D10286
OR
Other
Enumeration date
05/06/2015
Last updated
09/24/2015
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