Individual
MISS STEPHANIE JESUS ESPINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
18139 NE COUCH ST, PORTLAND, OR 97230-7281
(503) 489-1760
(503) 328-0019
Mailing address
18139 NE COUCH ST, PORTLAND, OR 97230-7281
(503) 313-4793
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H7724
OR
Other
Enumeration date
05/22/2019
Last updated
06/14/2019
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