Individual
MRS. JULIE GAIL CARMEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
822 NE 181ST AVE, PORTLAND, OR 97230-6708
(503) 661-5210
Mailing address
1128 SW 10TH DR, GRESHAM, OR 97080-9679
(503) 667-6626
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H2026
OR
Other
Enumeration date
07/29/2008
Last updated
07/29/2008
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