Individual
TRAM T BUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1102 NE 82ND AVE, PORTLAND, OR 97220-5701
(503) 408-8927
(503) 408-8926
Mailing address
1102 NE 82ND AVE, PORTLAND, OR 97220-5701
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H6072
OR
Other
Enumeration date
02/22/2013
Last updated
02/22/2013
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