Individual
EVELIN JAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
5879 NW LARK MEADOW TER, PORTLAND, OR 97229
(503) 929-3822
Mailing address
5879 NW LARK MEADOW TER, PORTLAND, OR 97229-7339
(503) 929-3822
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H6256
OR
Other
Enumeration date
04/11/2016
Last updated
04/11/2016
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