Individual
DR. JUANITA VALLES BOETTCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
8615 SE 11TH AVE, PORTLAND, OR 97202-7011
(503) 516-1291
Mailing address
8615 SE 11TH AVE, PORTLAND, OR 97202-7011
(503) 516-1291
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D8455
OR
Other
Enumeration date
07/26/2006
Last updated
03/25/2025
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