Individual
JUAN CARLOS BECERRIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RDH
Contact information
Practice address
1933 SW JEFFERSON ST, PORTLAND, OR 97201-2497
(855) 433-6825
Mailing address
334 SW VALERIA VIEW DR, PORTLAND, OR 97225-6975
(503) 828-8903
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H5454
OR
Other
Enumeration date
10/05/2021
Last updated
10/05/2021
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