Individual
ANGELA C ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
9370 SW GREENBURG RD BLDG STE 103, PORTLAND, OR 97223-5442
(503) 245-0082
Mailing address
15950 SW COLONY CT, PORTLAND, OR 97224-1020
(503) 590-9892
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H5146
OR
Other
Enumeration date
07/22/2013
Last updated
07/22/2013
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