Individual
KATIE LYNN HARPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
10535 NE GLISAN ST STE 301, PORTLAND, OR 97220
(503) 444-2824
(503) 444-2823
Mailing address
14201 NE 20TH AVE STE B200, VANCOUVER, WA 98686-6412
(360) 571-8181
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
D9876
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500661580
DMAP
—
Enumeration date
04/19/2011
Last updated
02/22/2019
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