Individual
NICOLE MARCELLA TERS SHEARER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3866 S 74TH ST STE 200, TACOMA, WA 98409-9908
(855) 433-6825
Mailing address
6950 NE CAMPUS WAY, HILLSBORO, OR 97124-5611
(855) 433-6825
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
61020944
WA
1223G0001X
General Practice Dentistry
Primary
DE61020944
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/08/2018
Last updated
09/16/2020
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