Individual
CAROLYN CHOI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
12600 SW CRESCENT ST STE 106, BEAVERTON, OR 97005
(503) 718-3675
(503) 924-6722
Mailing address
PO BOX 6149, BEAVERTON, OR 97007-0149
(503) 352-8642
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D9780
OR
Other
Enumeration date
08/27/2012
Last updated
09/05/2018
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