Individual
YURI A VRIELING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3330 SW ILLINOIS ST, PORTLAND, OR 97239-1092
(503) 929-8652
Mailing address
3330 SW ILLINOIS ST, PORTLAND, OR 97239-1092
(503) 929-8652
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H6772
OR
Other
Enumeration date
08/10/2014
Last updated
08/10/2014
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