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Individual

MICHELLE HOANG PRIESTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
12600 SW CRESCENT ST STE 106, BEAVERTON, OR 97005-1693
(503) 718-3675
(503) 434-8597
Mailing address
PO BOX 6149, ALOHA, OR 97007-0149
(503) 352-8657
(503) 434-8597

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D10107
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PENDING
OR
Enumeration date
09/01/2014
Last updated
02/25/2019
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