Individual
SUMMER R RIDLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 MCLOUGHLIN BLVD STE 68, OREGON CITY, OR 97045-1072
(503) 387-8020
Mailing address
1900 MCLOUGHLIN BLVD STE 68, OREGON CITY, OR 97045-1072
(503) 387-8020
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
OR
Other
Enumeration date
03/27/2019
Last updated
03/27/2019
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