Individual
EMILY C WINELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
12750 SE STARK ST BLDG E, PORTLAND, OR 97233
(971) 347-3009
(971) 256-3277
Mailing address
7626 N JERSEY ST, PORTLAND, OR 97203-3918
(415) 734-7176
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10439
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500711723
—
OR
Enumeration date
02/22/2016
Last updated
12/31/2018
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