Individual
SAMANTHA JOYCE SHOEMAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1314 NE GRAND AVE, PORTLAND, OR 97232-1127
(503) 280-2877
Mailing address
33022 NW EJ SMITH RD, SCAPPOOSE, OR 97056-3013
(971) 225-8781
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
10/31/2018
Last updated
10/31/2018
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