Individual
ASHLEY LAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2247 SE TUALATIN VALLEY HWY, HILLSBORO, OR 97123-7975
(503) 689-8584
Mailing address
1920 S RIVER DR UNIT 1203, PORTLAND, OR 97201-8051
(414) 805-5788
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D11865
OR
Other
Enumeration date
07/20/2018
Last updated
08/17/2023
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