Individual
KARI ANN TRICKEL
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
Mailing address
822 NE 181ST AVE, PORTLAND, OR 97230-6708
(503) 661-5210
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
119368
OR
Other
Enumeration date
10/31/2014
Last updated
10/31/2014
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