Individual
LISA JOANNE GUERRERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1314 NE GRAND AVE, PORTLAND, OR 97232-1127
(503) 280-2877
Mailing address
1314 NE GRAND AVE, PORTLAND, OR 97232-1127
(503) 280-2877
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9066
OR
Other
Enumeration date
05/28/2008
Last updated
05/28/2008
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