Individual
ANNIKA ROSE NORDMARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2225 PACIFIC BLVD SE STE 201, ALBANY, OR 97321-7904
(855) 433-6825
Mailing address
6950 NE CAMPUS WAY, HILLSBORO, OR 97124-5611
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D12067
OR
Other
Enumeration date
08/14/2024
Last updated
08/14/2024
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