Individual
MS. ADELE F. GOODSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDHEF
Contact information
Practice address
1314 NE GRAND AVE, PORTLAND, OR 97232-1127
(503) 280-2877
Mailing address
10429 SW TITAN LN, TIGARD, OR 97224-4411
(503) 620-9963
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H2148
OR
Other
Enumeration date
08/14/2006
Last updated
07/08/2007
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