Individual
HEATHER PFAFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1314 NE GRAND AVE, PORTLAND, OR 97232-1127
(503) 280-2788
Mailing address
4015 NW 12TH AVE, CAMAS, WA 98607-7982
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
112867
OR
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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