Individual
DR. LAUREN WEBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
0677 SW LOWELL ST APT 355, PORTLAND, OR 97239-4423
(248) 890-5298
Mailing address
3939 SW BOND AVE APT 138, PORTLAND, OR 97239-4705
(248) 890-5298
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D10378
OR
Other
Enumeration date
07/08/2013
Last updated
02/04/2016
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