Individual
MRS. JULIET MARIE SPAULDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EFDA
Contact information
Practice address
822 NE 181ST AVE, PORTLAND, OR 97230-6708
(503) 661-5210
Mailing address
36585 YOCUM LOOP, SANDY, OR 97055-7236
(503) 661-5210
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
A0626
OR
Other
Enumeration date
12/28/2006
Last updated
07/08/2007
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