Individual
MRS. ALLISON RENEE GERDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
3514 NE BROADWAY ST, PORTLAND, OR 97232-1821
(503) 284-1602
Mailing address
15030 NE ROSE PKWY, PORTLAND, OR 97230-4523
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
60776317
WA
124Q00000X
Dental Hygienist
Primary
H7496
OR
Other
Enumeration date
01/03/2018
Last updated
03/17/2018
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