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Individual

MRS. AUDREY SUSAN BORGES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DENTAL ASST. EFDA

Contact information

Practice address
822 NE 181ST AVE, PORTLAND, OR 97230-6708
(503) 661-5210
Mailing address
15820 DREAMCATCHER AVE, SANDY, OR 97055-5354

Taxonomy

Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
A1671

Other

Enumeration date
12/29/2006
Last updated
07/08/2007
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