Individual
ASHLEY WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7201 N INTERSTATE AVE, PORTLAND, OR 97217-5523
(503) 758-8511
Mailing address
7201 N INTERSTATE AVE, PORTLAND, OR 97217-5523
(503) 758-8511
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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