Individual
MS. N'COLE MARIE MERRITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH, BSDH
Contact information
Practice address
917 LLOYD CTR, FIRST FLOOR, PORTLAND, OR 97232-1239
(503) 575-1020
Mailing address
917 LLOYD CTR, FIRST FLOOR, PORTLAND, OR 97232-1239
(503) 575-1020
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H4780
OR
Other
Enumeration date
07/27/2010
Last updated
05/25/2011
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