Individual
MATTIE MARIE MORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH, BSDH
Contact information
Practice address
7615 SW CAPITOL HWY, PORTLAND, OR 97219-2436
(503) 244-3712
(503) 244-2122
Mailing address
1210 E ELLENDALE AVE, DALLAS, OR 97338-1706
(503) 580-2152
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H5888
OR
Other
Enumeration date
03/25/2013
Last updated
03/25/2013
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