Individual
CLARISSA GAPO LIU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
700 NE MULTNOMAH ST STE 850, PORTLAND, OR 97232-4108
(503) 230-8814
Mailing address
PO BOX 13725, PORTLAND, OR 97213-0725
(503) 830-0449
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H5147
OR
Other
Enumeration date
06/27/2018
Last updated
06/27/2018
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