Individual
MILYNN HENKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EFDA
Contact information
Practice address
3710 SW VETERANS HOSPITAL RD, PORTLAND, OR 97239-2964
(503) 220-8262
Mailing address
3710 SW VETERANS HOSPITAL RD, PORTLAND, OR 97239-2964
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
116562
OR
Other
Enumeration date
04/14/2016
Last updated
04/14/2016
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