Individual
AMY CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1314 NE GRAND AVE, PORTLAND, OR 97232-1127
(503) 286-6868
Mailing address
13689 SE SCENIC RIDGE DR, CLACKAMAS, OR 97015-7537
(503) 998-0368
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H8108
OR
Other
Enumeration date
06/10/2022
Last updated
06/10/2022
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