Individual
MS. MARY ALICE RIORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
10102 NE GLISAN ST, PORTLAND, OR 97220-4456
(503) 257-5959
Mailing address
10102 NE GLISAN ST, PORTLAND, OR 97220-4456
(503) 257-5959
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H3687
OR
Other
Enumeration date
08/25/2006
Last updated
07/16/2007
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