Individual
MRS. TERESA ANN EDMONDS I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EFDA DENTAL ASSISTAN
Contact information
Practice address
1314 NE GRAND AVE, PORTLAND, OR 97232-1127
(503) 280-2877
(503) 331-3095
Mailing address
599 SE 42ND CIR, TROUTDALE, OR 97060-2591
(503) 280-2877
(503) 331-3095
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
0839
OR
Other
Enumeration date
08/16/2006
Last updated
07/08/2007
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