Individual
AMELIA STOKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1933 SW JEFFERSON ST, PORTLAND, OR 97201-2405
(855) 433-6825
Mailing address
WILLAMETTE DENTAL GROUP, 6950 NE CAMPUS WAY, PORTLAND, OR 97124
(855) 433-6825
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D10956
OR
Other
Enumeration date
04/15/2017
Last updated
12/31/2018
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