Individual
DR. ANGIE AGNES RAWLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2458 SE BURNSIDE RD, GRESHAM, OR 97080-1247
(503) 666-8045
Mailing address
2458 SE BURNSIDE RD, GRESHAM, OR 97080-1247
(503) 666-8045
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D9622
OR
Other
Enumeration date
07/22/2011
Last updated
02/21/2012
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