Individual
DR. GEMMA MODELL HILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
14210 SE SUNNYSIDE RD STE 300, CLACKAMAS, OR 97015-5243
(503) 659-5000
Mailing address
4535 SW CULLEN BLVD, PORTLAND, OR 97221-2923
(714) 875-8046
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901022204
MI
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D11698
OR
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DE61337356
WA
Other
Enumeration date
06/19/2017
Last updated
07/16/2024
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