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Individual

DIAMOND SPIGNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
EFDA

Contact information

Practice address
360 NW BURNSIDE RD, GRESHAM, OR 97030-3852
(503) 813-2000
Mailing address
1527 SE 127TH AVE, PORTLAND, OR 97233-1274
(503) 935-0822

Taxonomy

Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
116543
OR

Other

Enumeration date
02/07/2020
Last updated
02/07/2020
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