Individual
DENYL ELIZABETH DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10102 NE GLISAN ST, PORTLAND, OR 97220-4456
(503) 257-5959
Mailing address
15521 RAINIER AVE, SANDY, OR 97055-7832
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
02/06/2018
Last updated
02/06/2018
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