Individual
SIERRA NICOLE CORDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
11786 SW BARNES RD STE 340, PORTLAND, OR 97225-5930
(503) 646-4600
Mailing address
2754 SW HARTLEY DR, GRESHAM, OR 97080-6374
(971) 221-5091
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H6535
OR
Other
Enumeration date
09/13/2015
Last updated
09/13/2015
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