Individual
MRS. TATYANA BONDARCHUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
12710 SE DIVISION ST, PORTLAND, OR 97236-3134
(503) 988-3410
Mailing address
421 SW OAK ST, STE.210, PORTLAND, OR 97204-1817
(503) 988-7468
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H4862
OR
Other
Enumeration date
11/14/2006
Last updated
10/27/2015
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