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Individual

MRS. REBECCA ELIZABETH SEPPALA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
2375 SW CEDAR HILLS BLVD, PORTLAND, OR 97225-4513
(503) 941-5869
(503) 941-5982
Mailing address
2375 SW CEDAR HILLS BLVD, PORTLAND, OR 97225-4513
(503) 941-5869
(503) 941-5982

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9173
OR

Other

Enumeration date
11/11/2011
Last updated
11/11/2011
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