Individual
MRS. TAMMY LORAINE RONGONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
822 N.E. 181ST. AVE, PORTLAND, OR 97230-6708
(503) 661-5210
(503) 669-3989
Mailing address
8 2 2 181ST.AVE, 822, PORTLAND, OR 97230-6708
(503) 661-5210
(503) 669-3989
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
05/23/2012
Last updated
05/23/2012
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