Individual
ADRIENNE MONIQUE COVANY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EFDA, EFODA, SEALANT
Contact information
Practice address
10102 NE GLISAN ST, PORTLAND, OR 97220-4456
(503) 257-5959
Mailing address
10102 NE GLISAN ST, PORTLAND, OR 97220-4456
(503) 257-5959
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
119190
OR
Other
Enumeration date
01/19/2012
Last updated
01/19/2012
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