Individual
IGOR ALEKSEYEVICH SOTNIKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDH EPP
Contact information
Practice address
2520 SE 145TH AVE, PORTLAND, OR 97236-2671
(971) 242-4396
Mailing address
14352 SE LEE AVE, MILWAUKIE, OR 97267-1132
(503) 752-4636
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H7943
OR
Other
Enumeration date
04/05/2021
Last updated
04/26/2021
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