Individual
STEPHANIE MCGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
822 NE 181ST AVE, PORTLAND, OR 97230-6708
(503) 661-5210
Mailing address
701 COLUMBIA ST, #516, VANCOUVER, WA 98660-3449
(850) 902-6666
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
60267199
WA
126800000X
Dental Assistant
Primary
A30704
OR
Other
Enumeration date
05/21/2012
Last updated
05/21/2012
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