Individual
KHARA MEJIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EFDA
Contact information
Practice address
822 NE 181ST AVE, PORTLAND, OR 97230-6708
(503) 661-5210
(503) 669-3989
Mailing address
822 NE 181ST AVE, PORTLAND, OR 97230-6708
(503) 661-5210
(503) 669-3989
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
10/10/2011
Last updated
10/10/2011
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